Banca de DEFESA: EDSON JOSÉ BARROS DE MEDEIROS JUNIOR

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : EDSON JOSÉ BARROS DE MEDEIROS JUNIOR
DATE: 18/12/2023
TIME: 09:00
LOCAL: Departamento de Fisioterapia da UFPE - formato híbrido
TITLE:

Emotional and cognitive aspects and the practice of Primary Health Care professionals in the management of persistent pain: Quali-quantitative study.

KEY WORDS:

chronic pain, pain management, public health, healthcare professionals.

PAGES: 120
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

The persistent pain lasts for more than three months. Complex in nature and with a particular clinical course, it is highly disabling and leads to a reduction in productivity and salary. Furthermore, persistent pain is one of the major reasons for seeking Primary Health Care (PHC) services. Despite the impact represented, professionals working in PHC do not always carry out appropriate practices for pain management. Moreover, emotional and cognitive aspects of these professionals, such as dysfunctional perceptions, beliefs and attitudes about pain and catastrophizing, can interfere with the approach to the user and harm the treatment of persistent pain. Given the above, this dissertation had two objectives: 1. Elucidate the perception and practice of PHC professionals in the city of Paulista regarding persistent pain; 2. Identify the main predictors of catastrophizing in professionals working in the management of persistent pain in PHC in the city of Paulista. To this end, a qualitative-quantitative cross-sectional study was carried out, from October 2022 to October 2023, with higher education health professionals working in PHC in the city of Paulista. Data collection for the qualitative study took place through interviews in which participants spoke freely about their experiences in managing pain and about the influences of beliefs and knowledge about pain in the care of PHC users. The responses obtained were recorded and the speeches were transcribed and analyzed using Descending Hierarchical Classification and Similarity Analysis using the IRAMUTEQ software. The discourse analysis generated five classes of words according to the theoretical framework of pain and the perception of PHC professionals. For the quantitative study, professionals were assessed on their level of knowledge about pain (Pain Neurophysiology Questionnaire – QND), beliefs and attitudes about pain (Inventory of Attitudes towards Pain – Professionals – IAD-professionals) and the presence of catastrophizing (Pain Catastrophizing Scale – B-PCS), in addition to a form for sample characterization. Data were analyzed using multiple linear regression. The qualitative study included 60 professionals (78.3% women), whose average age was 37.72±9.18 years. PHC professionals try to be decisive, even in the face of discontinuity of actions and services. Beliefs and attitudes seem to influence the management of persistent pain. The quantitative study sample included 99 professionals (76.8% women), with a mean age of 37.04±8.64 years. The analysis resulted in a statistically significant model [F(2, 96)=5.366; p=0.006; R2=0.101)], in which catastrophizing was influenced by the professional category and the solicitude domain of the IAD-Professional. The results of this dissertation indicate that the perception and practices of the evaluated PHC professionals interfere in the management of persistent pain and can contribute to directing actions and strengthening agreements and services in the care of these users. Furthermore, these professionals must be aware that their occupation and willingness to help the user interfere with emotional and cognitive aspects that impact the management of persistent pain.

COMMITTEE MEMBERS:
Interna - 1807129 - GISELA ROCHA DE SIQUEIRA
Externa à Instituição - PALLOMA RODRIGUES DE ANDRADE - UFPB
Externo à Instituição - ALEXSANDRO SILVA COURA - UEPB