Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde
Autor(a) principal: | |
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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 |
Resumo: | 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 |
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Martinez, José Eduardohttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4273864H3Giovanini, Lilian Ferreira de Lima2019-08-28T11:11:52Z2019-04-08Giovanini, Lilian Ferreira de Lima. Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde. 2019. 79 f. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, 2019.https://tede2.pucsp.br/handle/handle/22509Introduction: 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 solvingIntrodução – A dor musculoesquelética é um dos principais motivos de procura por uma consulta médica no nível de atenção primária à saúde, que devido ao envelhecimento da população apresenta crescente prevalência no Brasil, tornando-se uma prioridade da saúde pública. Considerando-se a organização do Sistema Único de Saúde, a maioria dos casos devem ser solucionados na atenção primária, para isso, o médico generalista deve estar devidamente capacitado. Objetivo - avaliar uma estratégia educativa individualizada para médicos da atenção primária à saúde sobre dor crônica musculoesquelética e conhecer suas dificuldades no atendimento a estes pacientes. Métodos - Pesquisa exploratória do tipo estudo de casos com análise combinada qualitativa e quantitativa. Seis médicos da Estratégia de Saúde da Família foram submetidos à avaliação direta pelo examinador reumatologista. Atenderam 23 e 20 pacientes com dor musculoesquelética no pré-teste e pós-teste respectivamente em seu próprio ambiente de trabalho. Houve intervenção educativa individualizada realizada pelo reumatologista. Foram utilizados para coleta de dados o formulário Mini-CEX, um check-list em dor crônica musculoesquelética, questionário socioeconômico e profissional e entrevista sobre a percepção dos médicos quanto à capacitação. Resultados- após a intervenção educativa, observou-se uma melhora no atendimento nas áreas de exame físico, manejo do paciente, resolução de problemas e relacionamento com pacientes. A capacitação foi bem aceita pelos profissionais participantes que relataram melhora na confiança em diagnosticar e tratar a dor musculoesquelética crônica e sugeriram, inclusive, a extensão deste método de educação. Conclusões - A capacitação individual dos médicos generalistas pelo reumatologista resultou, a curto prazo, em melhoria no atendimento a portadores de dor crônica musculoesquelética generalizada. Constatou-se que há dificuldade nas áreas de anamnese, exame físico, manejo do paciente e resolução de problemasapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/50037/Lilian%20Ferreira%20de%20Lima%20Giovanini.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em Educação nas Profissões da SaúdePUC-SPBrasilFaculdade de Ciências Médicas e da SaúdeDor musculoesqueléticaDor crônicaAtenção primária à saúdeMusculoskeletal painChronic painPrimary health careCNPQ::CIENCIAS DA SAUDECapacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúdeIndividualized medical training in chronic widespread musculoskeletal pain in primary health careinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTLilian Ferreira de Lima Giovanini.pdf.txtLilian Ferreira de Lima Giovanini.pdf.txtExtracted texttext/plain85530https://repositorio.pucsp.br/xmlui/bitstream/handle/22509/4/Lilian%20Ferreira%20de%20Lima%20Giovanini.pdf.txt661b66344659684247b27363fb39f762MD54LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
dc.title.alternative.eng.fl_str_mv |
Individualized medical training in chronic widespread musculoskeletal pain in primary health care |
title |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
spellingShingle |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde Giovanini, Lilian Ferreira de Lima Dor musculoesquelética Dor crônica Atenção primária à saúde Musculoskeletal pain Chronic pain Primary health care CNPQ::CIENCIAS DA SAUDE |
title_short |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
title_full |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
title_fullStr |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
title_full_unstemmed |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
title_sort |
Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde |
author |
Giovanini, Lilian Ferreira de Lima |
author_facet |
Giovanini, Lilian Ferreira de Lima |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Martinez, José Eduardo |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4273864H3 |
dc.contributor.author.fl_str_mv |
Giovanini, Lilian Ferreira de Lima |
contributor_str_mv |
Martinez, José Eduardo |
dc.subject.por.fl_str_mv |
Dor musculoesquelética Dor crônica Atenção primária à saúde |
topic |
Dor musculoesquelética Dor crônica Atenção primária à saúde Musculoskeletal pain Chronic pain Primary health care CNPQ::CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Musculoskeletal pain Chronic pain Primary health care |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
description |
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 |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-08-28T11:11:52Z |
dc.date.issued.fl_str_mv |
2019-04-08 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Giovanini, Lilian Ferreira de Lima. Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde. 2019. 79 f. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, 2019. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/22509 |
identifier_str_mv |
Giovanini, Lilian Ferreira de Lima. Capacitação médica individualizada em dor crônica musculoesquelética generalizada na atenção primária à saúde. 2019. 79 f. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, 2019. |
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https://tede2.pucsp.br/handle/handle/22509 |
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Pontifícia Universidade Católica de São Paulo |
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Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde |
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PUC-SP |
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Brasil |
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Faculdade de Ciências Médicas e da Saúde |
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Pontifícia Universidade Católica de São Paulo |
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