How interdisciplinary psychoeducational programs with a psychodrama approach can help the chronic pain treatment compliance

Abstract

BACKGROUND AND OBJECTIVES: Psychoeducational programs with a cognitive behavioral approach are pointed out in the literature as effective tools in the management of chronic pain. The objective of this study was to evaluate if a psychodrama approach of the program has similar effects, as well as identifying if there are benefits in developing them at the beginning multidisciplinary treatments to foster the compliance to the proposed treatments. METHODS: The study was a quasi-experimental one, with a non-probabilistic sample, for convenience. Ninety patients with chronic pain of several etiologies who started treatment in a tertiary hospital in the city of São Paulo in the period from 2015 to 2017, were invited. Among them, 81 concluded one of the 6 programs. Patients were evaluated with several resources before and at the end of the program. RESULTS: The results obtained are similar to the ones in the literature: reduction of anxious and depressive traits, and intensity of pain; increase in active strategies of confrontation and alteration in the period of the change stage. Moreover, to deal with pain as a chronic process interferes with the patients' identity, which can be observed by the change in the pattern of living with the pain, that can contribute or disturb the compliance to the proposed multidisciplinary treatments. CONCLUSION: The development of psychoeducational programs with a different approach (Psychodrama) for people who suffer from chronic pain can have beneficial effects, similar to the groups described in the literature.

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

“…Tais artigos são apresentados no Quadro 1. Em relação à caracterização, 2018 foi o ano com maior número de publicações, com quatro estudos (Lima & Reis, 2018;Loduca et al, 2018;Alvarez, et al, 2018;Sullivan et al, 2018), seguido do ano de 2019 com três estudos publicados (Valentim et al, 2019;Vieira et al, 2019;Chu et al, 2019). Estados Unidos da América (Marco et al, 2006;Sullivan et al, 2018;Buchbinder, Wilbur, Mclean & Leath, 2015;Street et al, 2010;Syrjala et al, 2008;West et al, 2003;Erkes, Parker;Carr & Mayo, 2001) e Brasil (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018) foram os dois países com maior número mais publicações sobre o tema, tendo sete e seis artigos publicados respectivamente.…”

“…Quanto ao delineamento, 12 estudos utilizaram a abordagem quantitativa (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Chu et al, 2019;Sullivan et al, 2018;Capewell;Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco utilizaram a abordagem qualitativa (Valentim et al, 2019;Lima & Reis, 2018;Mendez et al, 2017;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003).…”

“…Sobre o tipo de amostragem, quando mencionada, 12 estudos utilizaram a forma intencional (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018;Chu et al, 2019;Sullivan et al, 2018;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco a randomizada (Marco et al, 2006;Capewell, Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004).…”

“…A respeito dos participantes, dois estudos apresentaram como participantes enfermeiros, médicos e pacientes (Buchbinder, Wilbur, Mclean, Sleath, 2015;Syrjala et al, 2008), oito somente pacientes (Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Marco et al, 2006;Sullivan et al, 2018;Yates et al, 2004;West et al, 2003), um com pacientes e familiares (Capewell, Gregory, Closs & Bennett, 2010), um com pacientes e médicos (Street et al, 2010), Research, Society and Development, v. 10, n. 3, e25210313297, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13297 um com enfermeiros e estudantes (Alvarez et al, 2018), e três somente com enfermeiros (Chu et al, 2019;Edwards et al, 2001;Yates et al, 2004).…”

“…Quanto à análise de dados, nove estudos utilizaram estatística descritiva (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Sullivan et al, 2018;Capewell, Gregory, Closs & Bennett, 2010;Syrjala et al, 2008;Yates et al, 2004;Erkes, Parkerg, Carr & Mayo, 2001), seis empregaram análise do conteúdo (Valentim et al, 2019;Mendez et al, 2017;Chu et al, 2019;Buchbinder, Wilbur, Mclean, Sleath, 2015;Street et al, 2010;West et al, 2003) e dois recorreram à análise de conteúdo em combinação com estatística descritiva (Lima & Reis, 2018;Edwards et al, 2001).…”