A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia

Detalhes bibliográficos
Autor(a) principal: Canzonieri, Ana Maria [UNIFESP]
Data de Publicação: 2009
Outros Autores: Pollak, Daniel Feldman [UNIFESP], Martins, Maria Anita Viviani
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0100-55022009000300010
http://repositorio.unifesp.br/handle/11600/5225
Resumo: This study focuses on the understanding of rheumatology residents in caring for fibromyalgia patients. The syndrome is difficult to diagnose, and pain is the most important symptom. OBJECTIVES: Understand how residents understand the care, and discover what this care leads to. METHODS: Qualitative study based on hermeneutic phenomenology, with taped individual interviews answering the key question: What does it mean to you to treat fibromyalgia patients? The study analyzed the meanings provided by the residents. The research was performed in three public university hospitals, with second-year medical residents. RESULTS: Care for fibromyalgia patients proved to be a source of frustration, bringing a feeling of powerlessness and indignation; patients suffer from prejudice due to idiosyncrasies, social components, and non-adherence to treatment; the physician needs to be emotionally prepared to provide care - requirements include knowing how to listen and understand the patient-illness relationship; the diagnosis is marked by lack of laboratory confirmation and subjectivity in the work-up; the physician needs support from psychology, and the treatment requires a multidisciplinary team. CONCLUSION: Care is frustrating and generates a feeling of powerlessness. It requires greater psychological preparation during medical training and a more integrated approach between medicine, psychology, and physical therapy.
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spelling A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgiaThe understanding of rheumatology residents concerning for fibromyalgia patientsFibromyalgiaQualitative ResearchSchools, MedicalFibromialgiaPequisa QualitativaEscolas médicasThis study focuses on the understanding of rheumatology residents in caring for fibromyalgia patients. The syndrome is difficult to diagnose, and pain is the most important symptom. OBJECTIVES: Understand how residents understand the care, and discover what this care leads to. METHODS: Qualitative study based on hermeneutic phenomenology, with taped individual interviews answering the key question: What does it mean to you to treat fibromyalgia patients? The study analyzed the meanings provided by the residents. The research was performed in three public university hospitals, with second-year medical residents. RESULTS: Care for fibromyalgia patients proved to be a source of frustration, bringing a feeling of powerlessness and indignation; patients suffer from prejudice due to idiosyncrasies, social components, and non-adherence to treatment; the physician needs to be emotionally prepared to provide care - requirements include knowing how to listen and understand the patient-illness relationship; the diagnosis is marked by lack of laboratory confirmation and subjectivity in the work-up; the physician needs support from psychology, and the treatment requires a multidisciplinary team. CONCLUSION: Care is frustrating and generates a feeling of powerlessness. It requires greater psychological preparation during medical training and a more integrated approach between medicine, psychology, and physical therapy.Este estudo busca a compreensão do residente médico em reumatologia no atendimento ao fibromiálgico. A síndrome é de difícil diagnóstico, e a dor é o fator mais importante. OBJETIVOS: Entender como o residente compreende o atendimento; desvendar o que este atendimento gera. MÉTODOS: Estudo qualitativo baseado na fenomenologia hermenêutica, com entrevista individual, gravada, sobre o tema da interrogação: O que é isto para você: atender o fibromiálgico?. São feitas análises das significações dos residentes. O estudo foi realizado em três hospitais-escola públicos, com todos os residentes médicos do segundo ano. RESULTADOS: O atendimento causa frustração, traz sentimento de impotência e gera indignação; o paciente sofre preconceito devido a idiossincrasias, a componentes sociais e à não adesão ao tratamento; o médico necessita de preparo emocional para atender - são requisitos necessários: saber ouvir e compreender a relação paciente-doença; o diagnóstico é marcado pela falta de comprovação laboratorial e subjetividade da anamnese; o médico necessita do apoio da psicologia, e o tratamento requer uma equipe multidisciplinar. CONCLUSÃO: O atendimento é frustrante e gera sentimento de impotência, sendo preciso maior preparo psicológico na formação médica e uma atuação mais integrada entre medicina, psicologia e fisioterapia.Universidade Federal de São Paulo (UNIFESP)Pontifícia Universidade Católica de São PauloUNIFESP, EPMSciELOAssociação Brasileira de Educação MédicaUniversidade Federal de São Paulo (UNIFESP)Pontifícia Universidade Católica de São PauloCanzonieri, Ana Maria [UNIFESP]Pollak, Daniel Feldman [UNIFESP]Martins, Maria Anita Viviani2015-06-14T13:41:08Z2015-06-14T13:41:08Z2009-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion393-404application/pdfhttp://dx.doi.org/10.1590/S0100-55022009000300010Revista Brasileira de Educação Médica. Associação Brasileira de Educação Médica, v. 33, n. 3, p. 393-404, 2009.10.1590/S0100-55022009000300010S0100-55022009000300010.pdf0100-5502S0100-55022009000300010http://repositorio.unifesp.br/handle/11600/5225porRevista Brasileira de Educação Médicainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T18:24:46Zoai:repositorio.unifesp.br/:11600/5225Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T18:24:46Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
The understanding of rheumatology residents concerning for fibromyalgia patients
title A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
spellingShingle A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
Canzonieri, Ana Maria [UNIFESP]
Fibromyalgia
Qualitative Research
Schools, Medical
Fibromialgia
Pequisa Qualitativa
Escolas médicas
title_short A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
title_full A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
title_fullStr A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
title_full_unstemmed A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
title_sort A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
author Canzonieri, Ana Maria [UNIFESP]
author_facet Canzonieri, Ana Maria [UNIFESP]
Pollak, Daniel Feldman [UNIFESP]
Martins, Maria Anita Viviani
author_role author
author2 Pollak, Daniel Feldman [UNIFESP]
Martins, Maria Anita Viviani
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Pontifícia Universidade Católica de São Paulo
dc.contributor.author.fl_str_mv Canzonieri, Ana Maria [UNIFESP]
Pollak, Daniel Feldman [UNIFESP]
Martins, Maria Anita Viviani
dc.subject.por.fl_str_mv Fibromyalgia
Qualitative Research
Schools, Medical
Fibromialgia
Pequisa Qualitativa
Escolas médicas
topic Fibromyalgia
Qualitative Research
Schools, Medical
Fibromialgia
Pequisa Qualitativa
Escolas médicas
description This study focuses on the understanding of rheumatology residents in caring for fibromyalgia patients. The syndrome is difficult to diagnose, and pain is the most important symptom. OBJECTIVES: Understand how residents understand the care, and discover what this care leads to. METHODS: Qualitative study based on hermeneutic phenomenology, with taped individual interviews answering the key question: What does it mean to you to treat fibromyalgia patients? The study analyzed the meanings provided by the residents. The research was performed in three public university hospitals, with second-year medical residents. RESULTS: Care for fibromyalgia patients proved to be a source of frustration, bringing a feeling of powerlessness and indignation; patients suffer from prejudice due to idiosyncrasies, social components, and non-adherence to treatment; the physician needs to be emotionally prepared to provide care - requirements include knowing how to listen and understand the patient-illness relationship; the diagnosis is marked by lack of laboratory confirmation and subjectivity in the work-up; the physician needs support from psychology, and the treatment requires a multidisciplinary team. CONCLUSION: Care is frustrating and generates a feeling of powerlessness. It requires greater psychological preparation during medical training and a more integrated approach between medicine, psychology, and physical therapy.
publishDate 2009
dc.date.none.fl_str_mv 2009-09-01
2015-06-14T13:41:08Z
2015-06-14T13:41:08Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0100-55022009000300010
Revista Brasileira de Educação Médica. Associação Brasileira de Educação Médica, v. 33, n. 3, p. 393-404, 2009.
10.1590/S0100-55022009000300010
S0100-55022009000300010.pdf
0100-5502
S0100-55022009000300010
http://repositorio.unifesp.br/handle/11600/5225
url http://dx.doi.org/10.1590/S0100-55022009000300010
http://repositorio.unifesp.br/handle/11600/5225
identifier_str_mv Revista Brasileira de Educação Médica. Associação Brasileira de Educação Médica, v. 33, n. 3, p. 393-404, 2009.
10.1590/S0100-55022009000300010
S0100-55022009000300010.pdf
0100-5502
S0100-55022009000300010
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista Brasileira de Educação Médica
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 393-404
application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Educação Médica
publisher.none.fl_str_mv Associação Brasileira de Educação Médica
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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