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)
DOI: 10.32635/2176-9745.RBC.2024v70n1.4522
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
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
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
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
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
Chelles, Patricia Almeida
Oliveira, Livia Costa de
Couto, Luciana Silva
Sampaio, Simone Garruth dos Santos Machado
Lima, Fernando Lopes Tavares de
Bergmann, Anke
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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dc.identifier.doi.none.fl_str_mv 10.32635/2176-9745.RBC.2024v70n1.4522

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