Revista Dor最新文献

{"title":"Nurses' role in the non-pharmacological pain treatment in cancer patients","authors":"Nery José de Oliveira Junior, Sandra Beatriz Silva de Oliveira, E. Migowski, Fernando Riegel","doi":"10.5935/1806-0013.20170112","DOIUrl":"https://doi.org/10.5935/1806-0013.20170112","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Non-pharmacological therapy is important and complements the pharmacological treatment to relieve the pain and anxiety in many patients, and it is also classified as complementary and integrative therapy. The objective of this study was to describe the nurses’ role in nonpharmacological pain management in cancer patients. CONTENTS: Integrative literature review. Scientific publications indexed in the Medline, Integrated Building Environmental Communications System, LILACS and Nursing databases, accessed through the Virtual Health Library in October 2016, were evaluated. Following the inclusion criteria, seven studies were selected, published between 2006 and 2016. Data were subjected to content analysis. Based on this analysis, the articles were described in three categories: 1) the perception of nurses; 2) the perception of the patient, and 3) nursing actions. CONCLUSION: It was evident the fundamental and important role of the nursing staff in the non-pharmacological pain management in cancer patients. Both patients and family members should actively participate in the treatment. It is recommended the development of reliable and effective communication links, in addition to the implementation of educational actions involving the triad patient-family-team.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46555398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of musculoskeletal pain in primary care dentists","authors":"Rajitha Lakindu Silva, José Mário Nunes da Silva","doi":"10.5935/1806-0013.20170106","DOIUrl":"https://doi.org/10.5935/1806-0013.20170106","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Dentistry is among the occupational categories that most inflicts its practitioners to a series of risk factors to develop musculoskeletal disorders, especially the maintenance of static postures, repetitive activities, long work days, poorly designed work environment, stress and handling of chemical and biological materials. The objective of this study was to analyze the prevalence of work-related musculoskeletal pain in primary care dentists. METHODS: The sample consisted of 167 primary care dentists, who answered questionnaires relating to musculoskeletal pain, social-demographic data, lifestyle, occupational characteristics, fatigue and ability to work. RESULTS: The prevalence of musculoskeletal pain was high for upper limbs (38.3%), lower limbs (34.7%) and on the back (27.5%). The was a statistical association in the three body segments, with family income, associated morbidities, daily and weekly working time, the perception of fatigue, and ability to work. CONCLUSION: The studied sample showed a high prevalence of musculoskeletal pain, which serves as a warning flag to the adoption of public policies to improve the working conditions of the dentists surveyed.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43481162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elaboration of a booklet for individuals with chronic pain","authors":"S. P. Mendez, K. Sá, Paula Carneiro Silva de Araújo, Iasmyn Adélia Victor Fernandes de Oliveira, A. P. Gosling, A. Baptista","doi":"10.5935/1806-0013.20170103","DOIUrl":"https://doi.org/10.5935/1806-0013.20170103","url":null,"abstract":"JUSTIFICATIVA E OBJETIVOS: A dor cronica e considerada um problema de saude publica. A melhor forma de enfrenta-la ainda e um desafio. Contudo, intervencoes socioeducativas tem sido recomendadas por diretrizes nacionais e internacionais que tratam do seu manuseio. O objetivo deste estudo foi elaborar uma cartilha educativa escrita na lingua portuguesa brasileira para pessoas que vivenciam o problema da dor cronica. METODOS: Este estudo de desenvolvimento de tecnologia leve foi realizado em tres fases: revisao narrativa da literatura para identificar o conteudo adequado; aproximacao da populacao alvo, por meio de entrevistas estruturadas; e construcao da cartilha por profissionais especializados no tratamento da dor cronica. RESULTADOS: O estudo resultou na confeccao de uma cartilha nomeada de “EducaDor”, ilustrada ludicamente, com 18 paginas, divididas nas seguintes secoes: 1. O que e dor? 2. Dor aguda: a dor util; 3. Dor cronica: a dor persistente; 4. A convivencia com a dor; 5. Falsas ideias sobre a dor cronica, nao acredite nelas; 6. Estrategias para lidar com a dor. Por meio de linguagem acessivel, a cartilha fornece dados sobre neurofisiologia e aspectos psicologicos e comportamentais envolvidos com a dor cronica. A cartilha pode contribuir para a modificacao de crencas erroneas sobre a dor e de comportamentos mal adaptativos, alem de fornecer estrategias para o enfrentamento da dor cronica. CONCLUSAO: Este estudo desenvolveu com sucesso uma tecnologia leve em saude que fornece subsidios para programas socioeducacionais para o manuseio da dor cronica.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41654995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A atuação do psicológico em clínica multidisciplinar","authors":"Martha Moreira Cavalcante Castro","doi":"10.5935/1806-0013.20170100","DOIUrl":"https://doi.org/10.5935/1806-0013.20170100","url":null,"abstract":"","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49018861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone pain assessment in patients with chronic kidney disease undergoing hemodialysis","authors":"M. Vides, M. I. Martins","doi":"10.5935/1806-0013.20170109","DOIUrl":"https://doi.org/10.5935/1806-0013.20170109","url":null,"abstract":"BACKGROUND AND OBJECTIVES: The objective of this study was to descriptively evaluate the symptom of pain and its influence on the quality of life in patients with chronic renal failure on hemodialysis treatment. METHODS: This is a descriptive, cross-sectional exploratory, quantitative approach. We evaluated 50 chronic renal failure patients on hemodialysis treatment through the Brief Pain Inventory and the Kidney Disease and Quality of Life Short Form. The emotional factors were evaluated by the Toronto Alexithymia and Hospital Anxiety and Depression Scales. RESULTS: The predominant age group was 40 to 60 years. 72% of the patients showed some bone changes and the majority interviewed did not have formal jobs at the time of interview. There was a noticeable increase in the intensity of pain in patients with bone alterations when compared to those without, as well as an increased ambulation impairment. The Hospital Anxiety and Depression Scale showed a slight increase in both parameters in those with bone pain. Regarding the quality of life, physical function and work status were the most affected. There was the absence of alexithymia in most of the interviewees, a positive correlation between pain intensity versus physical function (r=-0.14, p=0.03), physical function x work status (r=-0.28, p=0.04) and a negative correlation between alexithymia versus anxiety (r=0.03, p=0.62) and moderate pain versus overall health (r=0.06, p=0.40). CONCLUSION: We found worse outcomes in hemodialysis patients who presented bone alterations, regardless of the source.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44176437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment and correlation between subjective and physiological variables of chronic spinal pain","authors":"C. Moura, D. H. Iunes, Aline Aparecida Machado Agostinho, N. Santos, A. M. Silva, E. Chaves","doi":"10.5935/1806-0013.20170102","DOIUrl":"https://doi.org/10.5935/1806-0013.20170102","url":null,"abstract":"JUSTIFICATIVA E OBJETIVOS: A dor cronica na coluna vertebral possui uma prevalencia elevada. A avaliacao de parâmetros subjetivos e fisiologicos ao longo do tempo, e como se relacionam, e importante para verificar as mudancas no estado de saude das pessoas que sofrem com essa condicao. O objetivo deste estudo foi avaliar e correlacionar as variaveis subjetivas e fisiologicas da dor cronica na coluna vertebral. METODOS: Estudo observacional, prospectivo de medidas repetidas, realizado entre setembro de 2015 e janeiro de 2016, com 99 pessoas registradas em fila de espera da clinica de fisioterapia de uma universidade de Minas Gerais. Foram realizadas quatro avaliacoes, com um intervalo de 15 dias entre elas. RESULTADOS: Verificou-se reducoes estatisticamente significativas, ao longo do tempo, na intensidade da dor (p<0,001), na sua interferencia nas atividades cotidianas (p<0,001), no limiar de dor (p<0,001) e na incapacidade fisica (p<0,001). Houve correlacoes negativas entre o limiar e a intensidade da dor nas avaliacoes tres (p=0,003) e quatro (p=0,001); correlacao positiva entre intensidade da dor e a incapacidade fisica em todas as avaliacoes (p<0,001); correlacao negativa entre o limiar de dor e a incapacidade fisica nas avaliacoes um (p=0,001), tres (p=0,043) e quatro (p=0,004). Tambem existem correlacoes positivas entre a intensidade da dor e a sua interferencia nas atividades cotidianas (p<0,001); e correlacao negativa entre o limiar de dor e essas atividades, principalmente nas avaliacoes tres e quatro. CONCLUSAO: Existem correlacoes entre as variaveis subjetivas com as fisiologicas da dor cronica na coluna vertebral.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43971873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Program of combined physical exercise reduces the perception of pain in a patient with sickle cell anemia. Case report","authors":"Renata Botelho, R. Guerra, V. D’Almeida, A. Medeiros","doi":"10.5935/1806-0013.20170114","DOIUrl":"https://doi.org/10.5935/1806-0013.20170114","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Sickle cell anemia is one of the most common hereditary hematological disease in the world. Among many clinical manifestations, the main characteristic of this disease is the painful crises. Considering the increasing number of individuals with sickle cell anemia in Brazil, the increase in life expectancy of these individuals, who are advised to restrict physical activity, it is important to investigate this subject since exercises have been listed as relevant in health promotion. The objective of this study was to analyze the perception of pain, some physiological responses and the quality of life of a patient with sickle cell anemia undergoing a program of physical exercises (aerobic and resistance). CASE REPORT: Female patient, 56 years old, diagnosed with sickle cell anemia as a child, and in the course of this research did not make routine use of drugs in the control of the disease. On physical and ergo-spirometric examination, and during fourmonth of combined exercise, she did not present critic clinical condition, only some characteristic difficulties such as musculoskeletal pain, low cardiorespiratory resistance, and early fatigue. CONCLUSION: The results suggested that a program of combined and regular exercises produced important changes in the patient, in several aspects related to her health, including the reduction of musculoskeletal pain and increased general physical fitness, contributing to the improvement of the perception of quality of life.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41617741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glossopharyngeal neuralgia of tumor origin diagnosed in dental care. Case report","authors":"G. Marchetti, Daniel Bonotto, P. Cunali","doi":"10.5935/1806-0013.20170115","DOIUrl":"https://doi.org/10.5935/1806-0013.20170115","url":null,"abstract":"BACKGROUND AND OBJECTIVES: The glossopharyngeal neuralgia is a neuropathy considered rare that manifests itself in the IX cranial nerve distribution characterized by an electric shock-like pain, often associated with hyperalgesia and allodynia. The etiology may be related to vascular changes, brain tumor, or even idiopathic. The aim of this study was to report a case of glossopharyngeal neuralgia secondary to a brain tumor diagnosed in a dental clinic, highlighting its clinical manifestations and discussing its nosological limit with other orofacial pain. CASE REPORT: Female patient, 63 years old, sought care at a dental outpatient clinic of Orofacial Pain complaining about an intense electric shock and jumping pain of sudden onset on the lower right edge region and right tongue base. She reported that the events were triggered and exacerbated when chewing, opening the mouth, laughing and talking. The diagnostic hypothesis of glossopharyngeal neuralgia was tested by momentary depletion to the application of benzocaine 20% and pain remission with the administration of carbamazepine (400mg/ day) for 20 days. The patient was referred to the Neurology service of the hospital, where the magnetic resonance imaging presented an expansive, solid, extra-axial lesion in the right prepontine cistern, suggesting meningioma. CONCLUSION: The professional should be aware of the differential diagnosis of orofacial pains, especially in episodic neuropathies, to rule out the tumor etiology. In these cases, the quick referral to tertiary centers is fundamental for the good prognosis.","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42587898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Te use of dry needling in the treatment of cervical and masticatory myofascial pain","authors":"A. Carvalho, E. Grossmann, F. Ferreira, E. Januzzi, Roberta Maria Drumond Furtado Bossi Fonseca","doi":"10.5935/1806-0013.20170111","DOIUrl":"https://doi.org/10.5935/1806-0013.20170111","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Dry needling is an interventionist, minimally invasive technique, used in the treatment of myofascial pain. The objective of this study was to describe the use of dry needling and to perform a critical literature analysis about the technical aspects of its use by qualified health care professionals. CONTENTS: A search in the literature was carried out for books in English, review articles, randomized controlled or quasi-randomized clinical trials, blind or double-blind and published case studies series in Portuguese or in English. The following databases were used: Cochrane, LILACS, and Pubmed. Articles published from September 1996 to January 2017 were selected according to the following keywords: dry needling versus myofascial pain syndrome versus temporomandibular joint dysfunction syndrome) versus trigger points versus musculoskeletal manipulations versus trapezius muscle, superficial back muscles versus masseter muscle versus secular muscle versus pterygoid muscles versus digastric muscle, neck muscles. Reports of clinical cases, “open-label” studies, studies with animal models and articles not related to DN were excluded. After the matching descriptors and the implementation of inclusion and exclusion criteria, we selected six articles. CONCLUSION: The diagnosis of myofascial pain can be a difficult task since it can simulate different masticatory system pain, from a toothache to a trigeminal neuropathic pain. This can be minimized with proper history taking, clinical examination involving muscle palpation, as well as the own experience and professional training. The deactivation of myofascial trigger points should be a priority in myofascial pain therapy since there is a significant improvement of local and referred pain when we use this approach. Despite the favorable results of studies about the use of dry needling in myofascial pain treatment related to The use of dry needling in the treatment of cervical and masticatory myofascial pain","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between temporomandibular signs and symptoms and depression in undergraduate students: descriptive study","authors":"Raydelane Grailea Silva Pinto, Weryk Manoel Araújo Leite, L. Sampaio, Mariana de Oliveira Sanchez","doi":"10.5935/1806-0013.20170105","DOIUrl":"https://doi.org/10.5935/1806-0013.20170105","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Temporomandibular joint dysfunction is a chronic condition that affects a large part of the college population, deserving greater importance in public health due to the negative consequences in students’ performance and in the quality of life of these individuals. The objective of this study is to check the association and correlation of temporomandibular dysfunction symptoms and signs with depression in students from the School of Science and Technology of Maranhão. METHODS: Epidemiological, descriptive and cross-sectional study with the quantitative approach with 199 undergraduate students. For data collection, we used Fonseca’s Anamnestic Index and the Research Diagnostic Criteria for Temporomandibular Disorders, Axis II. Data were analyzed using Pearson’s Chi-square test, Fisher’s Exact test, and Spearman’s Correlation, considering a statistical significance of 5%. RESULTS: 37.7% students showed signs and symptoms of mild temporomandibular dysfunction, 19.6% moderate and 9% severe. Temporomandibular dysfunction was more frequent in female students (70.2%) between the ages of 19 to 24 years (70.2%). When assessing the level of depression symptoms, it was found that 25.1% students had moderate depression and 17.1% severe. There was no statistically significant association (p<0.001) and weak positive correlation (r=0.38; p<0.001) between the presence of temporomandibular dysfunction signs and symptoms and depression. CONCLUSION: The results of this study suggest that there is a relationship between temporomandibular dysfunction and depression in undergraduate students, with higher prevalence in women, however, more specific diagnostic methods are necessary to confirm this relationship and the need for treatment. Association between temporomandibular signs and symptoms and depression in undergraduate students: descriptive study","PeriodicalId":30846,"journal":{"name":"Revista Dor","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1806-0013.20170105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45309941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}