Significações da dor crônica

• Autor(a) principal: Souza, Karina Duarte
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/6925
• topic: Dor crônica; Significados; Crenças; Chronic pain; Meanings; Beliefs; CIENCIAS HUMANAS::PSICOLOGIA

Introduction: Chronic pain is an important condition because it reaches great part of the population, presenting itself as a major cause of seeking the health service. It is mainly characterized by their long life and strong association with cognitive and affectivemotivational aspects. These aspects have a strong influence on the perception and experience of pain. The meanings attributed to pain reflect the varieties of beliefs that patients have regarding to it. and consist in the cognitive-affective systems that establish multiple relationships with the perception and behavioral responses related to pain. Objectives: The study aimed to explore, describe and analyze the meanings attributed to chronic pain by a group of patients who attend public and private health services in the city of João Pessoa. Method: Participated in the sample of non-probabilistic and by convenience, 50 patients of public health care and 50 patients from private services,. There were two types of interview: free association and semi-structured interview. The free association had as a stimulus the word "pain", and requested five answers that should be prioritized according to their importance. The semi-structured interviews looked for answers to some guiding questions as: "What does your pain mean to you?" And "What is the meaning your pain has in your life?" We also assessed the pain characteristics by respondents, including the type of pain and the intensity experienced by a numeric pain scale, health problems presented, and at the end, sociodemographic data on age, gender and education. Results: In the resulting analysis of free associations, five main types of meanings were found: body condition; negative emotion, subjective negative consequences, negative functional consequences, and adaptation and coping. These meanings differ in their use in both types of services, public and private, which showed distinct patterns of meaning of pain. Predominated in the private service a semantic pattern focused on pain and emotion, as well as their consequences, with an emphasis on the facts and objective consequences of pain and its implications in the effective manipulation of the physical and social world of the patient. In public offices there was a greater emphasis on adaptation and coping with the pain problem by seeking the solution in the form of treatment or redefinition of the pain. x Analyzing the answers of the semistructured interview, done through the software ALCESTE, the speech of the patients showed two standards. The first focused on their pain, their emotions and its consequences, was composed of a semantic core that relates to emotion, expressed either as a corporal sensation, or as a valuation of this sensation (sadness and suffering), or as a consequence of this feeling (limits and impossibilities). The other observed speech showed the capacity of facing the pain with an adaptive coping and seeking a way to solve it, like the action to go see a doctor, take some medicine, and other procedures in search of improvement. His semantic core refers to the situation and the way to face it. Conclusion: Knowing the meanings attributed by the patient to chronic pain, makes a better professional work possible with the patient, adopting the most appropriate therapies, facilitating patient adherence to treatment, as well as providing an adequate coping strategies adopted by the patient regarding to pain.