Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients

Detalhes bibliográficos
Autor(a) principal: Chelles, Patricia Almeida
Data de Publicação: 2024
Outros Autores: Oliveira, Livia Costa de, Couto, Luciana Silva, Sampaio, Simone Garruth dos Santos Machado, Lima, Fernando Lopes Tavares de, Bergmann, Anke
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4522
Resumo: Introduction: Physiotherapy can contribute to control pain in cancer patients and educational strategies should be developed to increase physiotherapeutic actions in this context. Objective: To develop a guide for the assessment and physiotherapeutic management of cancer pain. Method: Study developed in three stages: 1. Descriptive analysis of sociodemographic, clinical, functional data, pain characteristics and physiotherapeutic treatments performed on cancer patients receiving palliative care; 2. Development of the preliminary version of the guide based on the results of the first stage and theoretical content; 3. Focus group formed by physiotherapists that resulted in the final version of the guide. Results: 62 patients were included, mainly females (69.3%). The most common tumor site was gynecological (25.8%) and half presented bone metastasis. Neuropathic pain (51.6%), located in the spine (29.0%) was the most prevalent type of pain. The physiotherapeutic treatments most used were: positioning (98.0%), kinesiotherapy (68.0%), walking (39.0%), orthoses (32.0%) and transcutaneous electrical nerve stimulation (21.0%). The focus group suggested changes and positively evaluated the preliminary version of the guide, highlighting that, in addition to an easy-to-understand language, it provided a comprehensive view of the methods for evaluating and physiotherapy treatment of pain. Conclusion: Knowledge of patients' characteristics, associated with literature data and the participation of expert professionals made it possible to create a guide developed to be objective and easy-to-understand for physiotherapists, containing several resources for assessment and physiotherapeutic management of pain in cancer patients. 
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spelling Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer PatientsConstrucción de una Guía para la Evaluación y Manejo Fisioterapéutico Del Dolor en Pacientes con CáncerConstrução de um Guia para Avaliação e Manejo Fisioterapêutico da Dor em Pacientes com CâncerDor do CâncerModalidades de FisioterapiaHospitalizaçãoNeoplasias/epidemiologiaManejo da dorCancer PainPhysical Therapy ModalitiesHospitalizationNeoplasms/epidemiologyPain ManagementDolor por CáncerModalidades de fisioterapiaHospitalizaciónNeoplasias/epidemiologíaManejo del DolorIntroduction: Physiotherapy can contribute to control pain in cancer patients and educational strategies should be developed to increase physiotherapeutic actions in this context. Objective: To develop a guide for the assessment and physiotherapeutic management of cancer pain. Method: Study developed in three stages: 1. Descriptive analysis of sociodemographic, clinical, functional data, pain characteristics and physiotherapeutic treatments performed on cancer patients receiving palliative care; 2. Development of the preliminary version of the guide based on the results of the first stage and theoretical content; 3. Focus group formed by physiotherapists that resulted in the final version of the guide. Results: 62 patients were included, mainly females (69.3%). The most common tumor site was gynecological (25.8%) and half presented bone metastasis. Neuropathic pain (51.6%), located in the spine (29.0%) was the most prevalent type of pain. The physiotherapeutic treatments most used were: positioning (98.0%), kinesiotherapy (68.0%), walking (39.0%), orthoses (32.0%) and transcutaneous electrical nerve stimulation (21.0%). The focus group suggested changes and positively evaluated the preliminary version of the guide, highlighting that, in addition to an easy-to-understand language, it provided a comprehensive view of the methods for evaluating and physiotherapy treatment of pain. Conclusion: Knowledge of patients' characteristics, associated with literature data and the participation of expert professionals made it possible to create a guide developed to be objective and easy-to-understand for physiotherapists, containing several resources for assessment and physiotherapeutic management of pain in cancer patients. Introducción: La fisioterapia puede contribuir al control del dolor en pacientes con cáncer y se deben desarrollar estrategias educativas para incrementar las acciones fisioterapéuticas en este contexto. Objetivo: Desarrollar una guía para la evaluación y manejo fisioterapéutico del dolor oncológico. Método: Estudio desarrollado en tres etapas: 1. Análisis descriptivo de datos sociodemográficos, clínicos, funcionales, características del dolor y tratamientos fisioterapéuticos realizados a pacientes con cáncer que reciben cuidados paliativos; 2. Elaboración de la versión preliminar de la guía con base en los resultados de la primera etapa y contenidos teóricos sobre el tema; 3. Realización de un grupo focal compuesto por fisioterapeutas que dio como resultado la versión final de la guía. Resultados: Se incluyeron 62 pacientes, principalmente mujeres (69,3%). La localización tumoral más frecuente fue ginecológica (25,8%) y la mitad presentó metástasis óseas. El tipo de dolor más prevalente fue el neuropático (51,6%), localizado en la columna (29,0%). Los tratamientos fisioterapéuticos más utilizados fueron: posicionamiento (98,0%), kinesioterapia (68,0%), marcha (39,0%), uso de órtesis (32,0%) y estimulación nerviosa eléctrica transcutánea (21,0%). El grupo focal sugirió cambios y evaluó positivamente la versión preliminar de la guía, destacando que, además de estar elaborada en un lenguaje fácil de entender, proporcionó una visión integral de los métodos de evaluación y tratamiento fisioterapéutico del dolor. Conclusión: El conocimiento de las características de los pacientes, asociado a los datos de la literatura y la participación de profesionales especialistas, permitió crear una guía desarrollada para ser objetiva y de fácil comprensión para los fisioterapeutas, que contiene diversos recursos para la evaluación y manejo fisioterapéutico del dolor en pacientes con cáncer.Introdução: A fisioterapia pode contribuir para o controle da dor em pacientes com câncer e estratégias educativas devem ser desenvolvidas para aumentar as ações fisioterapêuticas nesse contexto. Objetivo: Elaborar um guia para avaliação e manejo fisioterapêutico da dor no câncer. Método: Estudo desenvolvido em três etapas: 1. Análise descritiva de dados sociodemográficos, clínicos, funcionais, características da dor e tratamentos fisioterapêuticos realizados em pacientes com câncer em cuidados paliativos; 2. Desenvolvimento da versão preliminar do guia a partir dos resultados da primeira etapa e de conteúdo teórico na temática; 3. Realização de grupo focal composto por fisioterapeutas que originou a versão final do guia. Resultados: Foram incluídos 62 pacientes, principalmente do sexo feminino (69,3%). O sítio tumoral mais frequente foi o ginecológico (25,8%) e metade apresentou metástase óssea. O tipo de dor mais prevalente foi a neuropática (51,6%), localizada na coluna (29,0%). Os tratamentos fisioterapêuticos mais utilizados foram: posicionamento (98,0%), cinesioterapia (68,0%), deambulação (39,0%), uso de órteses (32,0%) e transcutaneous electrical nerve stimulation (21,0%). O grupo focal sugeriu alterações e avaliou positivamente a versão preliminar do guia, ressaltando que, além de ser elaborado com linguagem de fácil compreensão, possibilitou a visão integral sobre os métodos para avaliação e tratamento fisioterapêutico da dor. Conclusão: O conhecimento das caraterísticas dos pacientes, associado aos dados de literatura e à participação de profissionais especialistas, possibilitou a construção de um guia que foi desenvolvido para ser objetivo e de fácil compreensão para fisioterapeutas, contendo diversos recursos para avaliação e manejo fisioterapêutico da dor em pacientes com câncer. INCA2024-04-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/452210.32635/2176-9745.RBC.2024v70n1.4522Revista Brasileira de Cancerologia; Vol. 70 No. 1 (2024): Jan./Feb./Mar.; e-154522Revista Brasileira de Cancerologia; Vol. 70 Núm. 1 (2024): ene./feb./mar.; e-154522Revista Brasileira de Cancerologia; v. 70 n. 1 (2024): jan./fev./mar.; e-1545222176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/4522/3394https://rbc.inca.gov.br/index.php/revista/article/view/4522/3395Copyright (c) 2024 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessChelles, Patricia AlmeidaOliveira, Livia Costa de Couto, Luciana SilvaSampaio, Simone Garruth dos Santos Machado Lima, Fernando Lopes Tavares deBergmann, Anke2024-04-04T20:20:04Zoai:rbc.inca.gov.br:article/4522Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2024-04-04T20:20:04Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
Construcción de una Guía para la Evaluación y Manejo Fisioterapéutico Del Dolor en Pacientes con Cáncer
Construção de um Guia para Avaliação e Manejo Fisioterapêutico da Dor em Pacientes com Câncer
title Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
spellingShingle Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
Chelles, Patricia Almeida
Dor do Câncer
Modalidades de Fisioterapia
Hospitalização
Neoplasias/epidemiologia
Manejo da dor
Cancer Pain
Physical Therapy Modalities
Hospitalization
Neoplasms/epidemiology
Pain Management
Dolor por Cáncer
Modalidades de fisioterapia
Hospitalización
Neoplasias/epidemiología
Manejo del Dolor
title_short Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
title_full Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
title_fullStr Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
title_full_unstemmed Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
title_sort Construction of a Guide for Assessment and Physiotherapeutic Management of Pain in Cancer Patients
author Chelles, Patricia Almeida
author_facet Chelles, Patricia Almeida
Oliveira, Livia Costa de
Couto, Luciana Silva
Sampaio, Simone Garruth dos Santos Machado
Lima, Fernando Lopes Tavares de
Bergmann, Anke
author_role author
author2 Oliveira, Livia Costa de
Couto, Luciana Silva
Sampaio, Simone Garruth dos Santos Machado
Lima, Fernando Lopes Tavares de
Bergmann, Anke
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Chelles, Patricia Almeida
Oliveira, Livia Costa de
Couto, Luciana Silva
Sampaio, Simone Garruth dos Santos Machado
Lima, Fernando Lopes Tavares de
Bergmann, Anke
dc.subject.por.fl_str_mv Dor do Câncer
Modalidades de Fisioterapia
Hospitalização
Neoplasias/epidemiologia
Manejo da dor
Cancer Pain
Physical Therapy Modalities
Hospitalization
Neoplasms/epidemiology
Pain Management
Dolor por Cáncer
Modalidades de fisioterapia
Hospitalización
Neoplasias/epidemiología
Manejo del Dolor
topic Dor do Câncer
Modalidades de Fisioterapia
Hospitalização
Neoplasias/epidemiologia
Manejo da dor
Cancer Pain
Physical Therapy Modalities
Hospitalization
Neoplasms/epidemiology
Pain Management
Dolor por Cáncer
Modalidades de fisioterapia
Hospitalización
Neoplasias/epidemiología
Manejo del Dolor
description Introduction: Physiotherapy can contribute to control pain in cancer patients and educational strategies should be developed to increase physiotherapeutic actions in this context. Objective: To develop a guide for the assessment and physiotherapeutic management of cancer pain. Method: Study developed in three stages: 1. Descriptive analysis of sociodemographic, clinical, functional data, pain characteristics and physiotherapeutic treatments performed on cancer patients receiving palliative care; 2. Development of the preliminary version of the guide based on the results of the first stage and theoretical content; 3. Focus group formed by physiotherapists that resulted in the final version of the guide. Results: 62 patients were included, mainly females (69.3%). The most common tumor site was gynecological (25.8%) and half presented bone metastasis. Neuropathic pain (51.6%), located in the spine (29.0%) was the most prevalent type of pain. The physiotherapeutic treatments most used were: positioning (98.0%), kinesiotherapy (68.0%), walking (39.0%), orthoses (32.0%) and transcutaneous electrical nerve stimulation (21.0%). The focus group suggested changes and positively evaluated the preliminary version of the guide, highlighting that, in addition to an easy-to-understand language, it provided a comprehensive view of the methods for evaluating and physiotherapy treatment of pain. Conclusion: Knowledge of patients' characteristics, associated with literature data and the participation of expert professionals made it possible to create a guide developed to be objective and easy-to-understand for physiotherapists, containing several resources for assessment and physiotherapeutic management of pain in cancer patients. 
publishDate 2024
dc.date.none.fl_str_mv 2024-04-04
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4522
10.32635/2176-9745.RBC.2024v70n1.4522
url https://rbc.inca.gov.br/index.php/revista/article/view/4522
identifier_str_mv 10.32635/2176-9745.RBC.2024v70n1.4522
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/4522/3394
https://rbc.inca.gov.br/index.php/revista/article/view/4522/3395
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 70 No. 1 (2024): Jan./Feb./Mar.; e-154522
Revista Brasileira de Cancerologia; Vol. 70 Núm. 1 (2024): ene./feb./mar.; e-154522
Revista Brasileira de Cancerologia; v. 70 n. 1 (2024): jan./fev./mar.; e-154522
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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