Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde

• Autor(a) principal: Giovanini, Lilian Ferreira de Lima
• Data de Publicação: 2019
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/22509
• topic: Dor musculoesquelética; Dor crônica; Atenção primária à saúde; Musculoskeletal pain; Chronic pain; Primary health care; CNPQ::CIENCIAS DA SAUDE

Introduction: Musculoskeletal pain is one of the main reasons for seeking a medical consultation at the level of primary health care, which due to the aging of the population presents an increasing prevalence in Brazil, becoming a public health priority. Considering the organization of the National Unified Health System (SUS), most cases must be solved in primary care, for this, the general practitioner must be properly trained. Objective: to evaluate an individualized educational strategy for physicians of primary health care on chronic musculoskeletal pain and to know their difficulties in attending these patients. Methods: Exploratory research of the case study type with combined qualitative and quantitative analysis. Six physicians of the Family Health Strategy were submitted to direct evaluation by the rheumatologist. They attended 23 and 20 patients with musculoskeletal pain in the pre-test and post-test respectively in their own work environment. There was an individualized educational intervention performed by the rheumatologist. The Mini-CEX form was used to collect data, a checklist in chronic musculoskeletal pain, a socio-economic and professional questionnaire and an interview about the physicians’ perception regarding the training. Results: after the educational intervention, there was improvement of the medical care in the areas of physical examination, patient management, problem solving and relationship with patients. The training was well accepted by the participating professionals who reported improved confidence in diagnosing and treating chronic musculoskeletal pain and even suggested the extension of this method of education. Conclusions: Individual training of general physicians by the rheumatologist resulted, in the short term, in the improvement of care for patients with chronic widespread musculoskeletal pain. It was verified that there is difficulty in the areas of anamnesis, physical examination, patient management and problem solving