Qualidade de Vida na Lesão Medular Traumática

Brunozi, Aliny Eugênia; Silva, Amélia Costa; Gonçalves, Laurianny Firmino; Veronezi, Rafaela Julia Batista

doi:10.34024/rnc.2011.v19.8408

Cited by 21 publications

(15 citation statements)

References 24 publications

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“…As for the location of the pain, the trunk region was the most referenced by 24% of the patients, and similar results were reported in previous studies. 10,15,25,38 Thus, it is understood that the pain reported was musculoskeletal, which can be justified by their remaining long periods in the wheelchair, as well as postural alterations derived from muscular imbalances caused by the plegic or paretic musculature in these cases. The clinical evaluation of the pain associated to SCI is not precise, for these individuals commonly develop complex multiple pain syndromes, with varied characteristics that occur simultaneously in different parts of the body.…”

Section: Discussionmentioning

confidence: 99%

“…9 In addition to the functional loss, pain is seen as one of the main and most disabling complications experienced by individuals in the rehabilitation process. [10][11][12] Pain after spinal cord injury is difficult to treat, and traditionally medical interventions have failed to provide relief. 13,14 Despite significant advances in the understanding of pain physiopathology and treatment, approaching this symptom is still precarious in SCI, 11,15 for there is a deficiency concerning standardization and classification of the various types of pain after the injury, showing a wide variation in the values that would indicate incidence and prevalence, culminating in the diversity of therapeutic measures to manage pain.…”

Section: Introductionmentioning

confidence: 99%

“…13,14 Despite significant advances in the understanding of pain physiopathology and treatment, approaching this symptom is still precarious in SCI, 11,15 for there is a deficiency concerning standardization and classification of the various types of pain after the injury, showing a wide variation in the values that would indicate incidence and prevalence, culminating in the diversity of therapeutic measures to manage pain. 6,12 The prevalence of pain is reported among 11% to 94% of the patients with SCI, 10,[16][17][18][19] and may be divided into neuropathic, musculoskeletal, and visceral. 11,14 Neuropathic pain is defined as spontaneous, associated with pathological damage and alterations to the central and/or peripheral nervous system, resulting from traumas, infections, ischemias, and oncological diseases.…”

Section: Introductionmentioning

confidence: 99%

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Study on the characteristics of pain in patients with spinal cord injury

et al. 2012

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Aside from the loss of functionality after a spinal cord injury (SCI) pain is considered one of the most disabling complications experienced in the rehabilitation process, even with the significant advances in understanding the physiopathology and treatment of the pain, the approach to this symptom is still precarious in spinal cord injury. Objective: To describe the characteristics of pain in this population and to associate the pain between variables such as the type of injury, the interference in the daily living activities (DLA), and its onset. Method: It is a descriptive cross-sectional study and was conducted on 77 patients with spinal cord injuries; the survey was applied using a semi-structured interview. Mean and standard deviation and absolute and relative frequencies were calculated, and for the association between qualitative variables we used the Chisquare test (χ²). Results: The mean age was 38.26 ± 12.43 years, 84.4% of which were men, and 80.5% were paraplegics. Thirty-one were caused by motor vehicle crashes and twenty-nine were by gunshot; 61% of them were fully disabled. As for the pain, 44.2% reported severe pain and 29.8% moderate, 50.6% felt no pain above the lesion, but 58.4% felt it below. Thirty-nine patients reported feeling burning pain, 40% reported that the pain came in the first year after SCI. Pain intensity was 5.44 ± 3.18 points, with 5.20 ± 3.07 in men and 6.75 ± 3.54 in women; for tetraplegic individuals it was 4.13 ± 3.18 and with 5.76 ± 3.12 in the paraplegics. For 27 patients the pain worsened if they remained in the same position, improved to 22 by performing physiotherapy, and to 21 with a change in position. For 68.8% of the patients the pain did not interfere with their DLAs. Twenty-eight used analgesics. It was significantly mentioned that the presence of pain below the lesion interferes with the DLAs (p = 0.04) and appears in the first year after injury above and below the lesion (p = 0.05 and p = 0.01), respectively. Conclusion: Pain was prevalent in those with injured spinal cords, more evident in women, and for the majority arose in the first year after injury and interferes with their DLA. Physiotherapy and a change of position decreased the pain. Therefore, orientations and interventions by the multidisciplinary team should be immediate after the injury, because the prevention or reduction of this complication will lead to an improved quality of life and the re-adaptation of the patient to their family and social life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Study on the characteristics of pain in patients with spinal cord injury

et al. 2012

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“…Portanto, os data sets tornam-se necessários para os muitos estudos multicêntricos e investigações que ocorrerão nos próximos anos (BIERING-SØRENSEN et al, 2006). FATARELLI, 2006;LIANZA et al, 2007;BRUNOZI et al, 2011).…”

Section: Complicações Associadasunclassified

Reabilitação de pessoas com lesão medular traumática: estudo do intestino neurogênico e sua relação com a qualidade de vida, satisfação e estilo de vida

Silva¹

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Agradeço imensamente a minha orientadora, Dra. Fabiana Faleiros Santana Castro que, com muita competência, paciência e confiança, tornou possível a conclusão deste árduo trabalho e por sempre confiar e acreditar em minha competência. Aos amigos que o mestrado me trouxe, Adriana Cordeiro e Adriana Tholl meus eternos agradecimentos por me ajudarem a colocar em prática este trabalho e pela força nos momentos em que pensei que não chegaria ao final. A todos os meus familiares, por sempre me apoiarem, em especial ao meu tio Tarcísio por todo apoio e incentivo desde o início desta minha caminhada.

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“…Nesse contexto, observa-se a perda de autonomia relacionada ao sentimento de dependência e o fato de necessitar de outras pessoas para executar atividades cotidianas. A pessoa com deficiência física sente-se incapaz devido à perda www.ufsj.edu.br/recom -4 da independência e à falta de controle sobre si mesma (10)(11) .…”

Section: Perda Da Autonomia/independênciaunclassified

Viver com deficiência física e o papel da rede de apoio

Brignol¹,

Schoeller

Silva³

et al. 2018

R. Enferm. Cent. O. Min.

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RESUMOObjetivo: compreender o impacto da deficiência física na pessoa e a contribuição da rede de apoio. Métodos: Trata-se de um estudo exploratório descritivo de abordagem qualitativa. Foram entrevistadas 10 pessoas com deficiência física de um município localizado no Sul do Brasil. Os dados foram coletados no período de março de 2013 a fevereiro de 2015, por meio de entrevistas semiestruturada em profundidade e realizada análise de conteúdo. Resultados: os dados foram organizados em três categorias temáticas: perda da autonomia/independência; mudanças no cotidiano e no viver; e rede como apoio para superar/enfrentar as dificuldades. Conclusão: a deficiência física apresenta transformações na vida das pessoas, sendo a rede de apoio a elas, peça fundamental para o enfrentamento das dificuldades. ABSTRACTObjective: To understand the impact of physical disability on the person and the contribution of the support network. Methods: This is an exploratory descriptive study with a qualitative approach. Ten people with physical disabilities from a municipality located in the South of Brazil were interviewed. Data were collected from March 2013 to February 2015, through semi-structured in-depth interviews and content analysis. Results: data were organized into three thematic categories: loss of autonomy/independence; changes in daily life and living, and network as support to overcome/face difficulties. Conclusion: the physical disability presents changes in the lives of people, being the network of support to them, fundamental piece to face the difficulties. RESUMENObjetivo: Para entender el impacto de la discapacidad física de la persona y la contribución de la red de apoyo. Métodos: Se trata de un estudio cualitativo descriptivo y exploratorio. Hemos entrevistado a 10 personas con discapacidad física en un municipio situado en el sur de Brasil. Los datos fueron recolectados a partir de marzo 2013 a febrero 2015, por meio de entrevistas semiestructuradas y análisis de contenido. Resultados: Los datos se organizan en tres categorías temáticas: la pérdida de la autonomía/independencia; cambios en la vida cotidiana y en el vivir; y la red como apoyo para superar/vencer las dificultades. Conclusión: la discapacidad física presenta cambios en la vida de las personas, la red de apoyo de las personas con discapacidad como una clave para hacer frente a las dificultades.

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Qualidade de Vida na Lesão Medular Traumática

Cited by 21 publications

References 24 publications

Study on the characteristics of pain in patients with spinal cord injury

Study on the characteristics of pain in patients with spinal cord injury

Reabilitação de pessoas com lesão medular traumática: estudo do intestino neurogênico e sua relação com a qualidade de vida, satisfação e estilo de vida

Viver com deficiência física e o papel da rede de apoio

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