BACKGROUND AND OBJECTIVES: Musculoskeletal pain affects 3% to 5% of the world population, decreasing patients' functional capacity. This study aimed at comparing functional capacity among females with fibromyalgia or low back pain. METHOD: Comparative study with convenience sample of 69 females with diagnosis of low back pain (35) or fibromyalgia (34) registered in the Orthopedics Outpatient Setting of a Public Teaching Hospital in Fortaleza/CE. Musculoskeletal Pain Evaluation Questionnaire was used, and the association among type of pain, sociodemographic characteristics and activities practiced by patients was analyzed with Chi-square (χ 2) and Fisher-Freeman-Halton tests. RESULTS: From 69 participants, mean age was 45 ± 10.8 years, most were married (63.8%), most had (42.0%) low education level and were housewives (37.7%). The type of pain had no statistically significant association with marital status (p = 0.289), occupation (p = 0.349) and education level (p = 0.907). Major pain site for both groups was lumbar spine (56%) and was insidious (69%) and continuous (54.5%). Most did not practice physical exercises (p < 0.001), and complained of lack of energy, especially those with fibromyalgia (82.4%) (p = 0.019). From mentioned physical activities, walking was predominant in both groups (52.6%), followed by stretching, gymnastics and hydrogymnastics (47.4%) (p = 1.000). There has been impairment of occupational (21.7%), domestic (21.7%) and leisure (13.0%) activities. CONCLUSION: Females with fibromyalgia had poorer functional capacity as compared to females with low back pain, deserving attention of health professionals for thorough pain evaluation, and assessment of functional changes of these patients.
Objective: to apply the McGill Questionnaire, translated and adapted to Brazil, and to identify the degree of internal association between this clinical group of women with fibromyalgia and another group of women with low back pain. Methods: this experimental research includes a case-control study. The population consisted of 83 patients diagnosed with fibromyalgia and low back pain who attended the Orthopedics and Trauma Outpatient Clinic at a Teaching Hospital in Fortaleza-CE, Brazil, from December 2005 to June 2006. The following exclusion criteria were adopted: patients with sensory and cognitive deficits, illiterate, younger than 21 and older than 60 years. A sample of 50 patients was obtained. The control and experimental groups were paired and the MPQ was applied to both. This study has been approved by the Research Ethics Committee of the Federal University of Ceará (04545014-5). Results: were analyzed comparatively through non-parametrical statistics (Kruskal-Wallis). This test found significant means and standard deviations for the sensory and affective categories, with significant p-values for the descriptor “tiring”. Conclusion: the MPQ showed its appropriateness for pain assessment and analysis in fibromyalgia patients. Descriptors: pain; pain measurement; fibromyalgia.
Compreender o escopo da atuação de enfermagem diante do paciente com suspeita ou diagnosticado com COVID-19 a nível hospitalar, conhecer e analisar as evidências científicas, abordagens teóricas e conceituais sobre essa temática. Além de mapear os principais conceitos, clarificar áreas de pesquisa e identificar lacunas do conhecimento. Métodos: Revisão de escopo baseada na metodologia proposta pelo Instituto Joanna Briggs. Foram analisadas as bases do Portal de Periódicos da Capes/MEC: Embase (Elsevier), CINAHL with Full Text (EBSCO), ScienceDirect (Elsevier), Cochrane Clinical Answers -CCA, Annual Reviews. Também as bases da Biblioteca Virtual em Saúde: LILACS, MEDLINE e BDENF Enfermagem. Os descritores e booleanos utilizados foram: coronavírus OR coronavírus infections OR betacoronavírus OR SARS-coV-2 AND nursing OR nurses AND hospital AND pandemic. Foram incluídos no estudo 15 artigos científicos. Resultados: A revisão evidenciou quatro categorias temáticas: Cuidados de enfermagem durante os estágios
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