DOR MÚSCULO-ESQUELÉTICA: COMO OS PACIENTES VIVEM?

 

Um modelo conceitual que oferece oportunidades de melhoria, envolvendo pacientes no seu tratamento, mostrando-lhes que a sua dor é entendida e preparando o terreno para ajudá-los com isso.

 

Objetivo
Para rever sistematicamente e integrar os resultados da investigação qualitativa para saber mais sobre a dor musculoesquelética (DME) pacientes que sofrem com os não crônicas – doenças malignas.

projeto Contexto esíntese de estudos qualitativos que usam a partir de 6 bases de dados eletrônicas até fevereiro de 2012 (Medline, Embase, CINAHL, PsychINFO, Amed e HMIC) metaetnografía.

Método
As bases de dados utilizadas foram investigados desde o início até Fevereiro de 2012 e complementada pelo conteúdo das pesquisas manuais de listas de revistas específicas de 2001-2011, e compromissos de rastreamento.

Resultados
Além dos 24,992 títulos, 676 resumos e textos completos 321, foram incluídos 77 trabalhos relatando 60 estudos. Ele surgiu um novo conceito de dor, luta contraditória constituído por: 1) auto – afirmação; 2) a reconstrução de si mesmo em tempo; 3) o desenvolvimento de uma explicação do sofrimento; 4) a negociar com o sistema de saúde; e 5) mostram a legitimidade de sua dor.

Conclusões
Esta revisão fornece uma garantia para melhorar a experiência dos pacientes e facilitar a sua colaboração para o tratamento. Um modelo conceitual que oferece oportunidades de melhoria por envolvê-los e mostrar-lhes que a sua dor é compreendido, que estabelece as bases para ajudá-los a avançar com ocorre a sua dor.

Introdução
alívio da dor é o principal objectivo dos cuidados de saúde, no entanto, a dor pode se tornar um quebra-cabeça, porque você não pode sempre se referem a uma patologia específica. Quase 25% dos adultos sofrem de dor moderada a severa e entre 6 e 14% deles é a dor grave e incapacitante. O DME é um dos tipos predominantes de dor e motiva muito de consultas na atenção primária.

A dor crônica é uma das prioridades clínicas do Royal College of General Practitioners para o período 2011-2014. Embora a idéia de vários síntese qualitativa contribuiu para entender melhor o processo dos cuidados de saúde em outras áreas, a proliferação de estudos qualitativos resultou nestes estudos são “fadado a nunca ser visitado”.

O objetivo desta revisão foi sintetizar pesquisa qualitativa existente para melhorar a compreensão e, portanto, melhorar o atendimento para pessoas com DME crônica. Existem vários métodos para fazê-lo. Os estudos analisados ​​vão desde os artigos descrevendo os resultados qualitativos para estudos que são mais interpretativo e dão origem a novas teorias.

O metaetnografía é uma forma interpretativa da síntese do conhecimento, proposto por Noblit e Hare, que visa desenvolver novos conhecimentos conceitual.

A coexistência complexo com dor

categoria conceitual
“Redefining normais descreve um caminho sem focar em perdas, mas sobre a reconstrução de um novo ser aceitável”

O principal tema emergente foi a luta contraditória que permeia o paciente um sentimento de culpa “até que se prove o contrário”.

a coexistência complexo com dor
Pacientes lutou para o seguinte:

1. Afirmação de si mesmo. Esta categoria incorpora uma luta para a minha auto-afirmação. Primeiro, meu corpo foi separado de mim e tornou-se um mal.

Eu não sou um corpo, mas eu tenho um corpo. Em segundo lugar, enquanto eu me esforço para evitar a erosão do meu “velho eu real” e não “dar” ao meu corpo dolorido, eu encarar o fato de ser irremediavelmente alterado. Finalmente, a perda de papéis que me levaram a que estou agora minou a minha auto-estima e me sinto culpado porque eu não posso satisfazer as expectativas dos outros.

O medo de sobrecarregar os outros e meu desejo de continuar mostrando o meu velho eu me encorajar a esconder a minha dor. No entanto, isso pode sair pela culatra, porque as pessoas não necessariamente acreditam que eles não podem ver.

auto tempo 2.Reconstruirse (tempo alterado edifício imprevisível agora no futuro). Esta categoria mostra como ele alterou a construção de minha auto atual e futuro.

Dia dia imprevisível da minha dor cria um presente atemporal e interminável em que minha vida começou a ser dominado por cautela e perda de espontaneidade. Planos, expectativas e sonhos do futuro estão irremediavelmente alterada e introversão começa a aparecer.

3. Desenvolver uma explicação para o sofrimento. Este conceito descreve a luta para explicar o sofrimento que não é justificado por parâmetros biomédicos. O diagnóstico ainda é altamente valorizado e E

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