A compreensão do residente médico em reumatologia no atendimento aos pacientes com fibromialgia
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , |
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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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 |
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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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1814268286537302016 |