Aplicação da versão brasileira do questionário de dor Mcgill em idosos com dor crônica
DOI:
https://doi.org/10.11606/issn.2317-0190.v13i2a102586Palavras-chave:
Dor Crônica, Idoso, Questionário da Dor de McGillResumo
A dor crônica é uma experiência multidimensional que envolve aspectos sensório-perceptual, afetivo-motivacional e cognitivo-avaliativo que se interagem e contribuem para a resposta dolorosa final. As alterações características do processo do envelhecimento em cada um desses aspectos podem interferir na experiência da dor, dificultando a sua avaliação adequada. O uso de uma escala multidimensional como o Questionário de dor McGill (MPQ) possibilita uma avaliação mais adequada desse sintoma. Os objetivos desse estudo foram verificar a confiabilidade intra e inter examinadores da aplicação do Br-MPQ em idosos com dor crônica em decorrência de doenças ortopédicas e neurológicas.Participaram desse estudo 19 idosos com doenças ortopédicas (71,21 ± 7,51 anos) e 19 idosos com doenças neurológicas (69,79 ± 5,30 anos) apresentando o diagnóstico de dor crônica, encaminhados pelo serviço médico, sem alterações cognitivas. A confiabilidade geral intra e interexaminadores nos idosos com doenças ortopédicas foram 0,86 e 0,89, respectivamente, e para idosos com doenças neurológicas de 0,71 e 0,68, respectivamente (Spearman, p<0,05). Os resultados mostraram que o Br-MPQ foi de fácil aplicação (8,54 ± 2,35 minutos) nessa amostra. O presente estudo demonstrou que o Br-MPQ pode ser mais adequado para avaliar a dor crônica em idosos, uma vez que a percepção desse sintoma está mais relacionada aos aspectos sensoriais, afetivos e cognitivo-avaliativos e não somente à intensidade.
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Referências
Merskey H. Classification of chronic pain: description of chronic pain syndromes and definitions of pain terms. Pain 1986;Suppl 3:S215-17.
Barr JO. Controle conservador da dor no paciente idoso. In: Guccione AA. Fisioterapia Geriátrica. 2 ed. Rio de Janeiro: Guanabara Koogan; 2002. p. 333-56.
Benedetti F, Vighetti S, Ricco C, Lagna E, Bergamasco B, Pinessi L, et al. Pain threshold and tolerance in Alzheimer's disease.Pain. 1999;80(1-2):377-82.
Crook J, Rideout E, Browne G. The prevalence of pain complaints in a general population. Pain. 1984;18(3):299-314.
Badley EM, Tennant A. Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale, West Yorkshire, United Kingdom. Ann Rheum Dis. 1992;51(3):366-71.
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population.Arthritis Rheum. 1995;38(1):19-28.
Cook AK, Niven CA, Downs MG.Assessing the pain of people with cognitive impairment. Int J Geriatr Psychiatry. 1999;14(6):421-5.
Chiba T. Dor e tratamento. In: Freitas EV, Py L, Cançado FAX, Gorzoni ML, Doll J. Tratado de Geriatria e Gerontologia. Rio de Janeiro: Guanabara Koogan; 2002. p.718-31.
Farrell MJ, Katz B, Helme RD. The impact of dementia on the pain experience. Pain. 1996;67(1):7-15.
Ferrell BA, Ferrell BR, Rivera L.Pain in cognitively impaired nursing home patients. J Pain Symptom Manage. 1995;10(8):591-8.
Fisher SE, Burgio LD, Thorn BE, Allen-Burge R, Gerstle J, Roth DL, et al. Pain assessment and management in cognitively impaired nursing home residents: association of certified nursing assistant pain report, Minimum Data Set pain report, and analgesic medication use. J Am Geriatr Soc. 2002;50(1):152-6.
Augusto ACC, Soares CPS, Resende MA. Avaliaçao da dor em idosos com doença de Alzheimer: uma revisao bibliográfica. Textos Envelhecimento. 2004;7(1):89-104.
Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL.CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33(7):1126-41.
Bennett JA, Stewart AL, Kayser-Jones J, Glaser D. The mediating effect of pain and fatigue on level of functioning in older adults. Nurs Res. 2002;51(4):254-65.
Brummel-Smith K, London MR, Drew N, Krulewitch H, Singer C, Hanson L. Outcomes of pain in frail older adults with dementia. J Am Geriatr Soc. 2002;50(11):1847-51.
Lipton RB, Pfeffer D, Newman LC, Solomon S. Headaches in the elderly. J Pain Symptom Manage. 1993;8(2):87-97.
Teixeira MJ, Teixeira WGJ, Santos FPS, Andrade DCA, Bezerra SL, Figueiró JB, et al. Epidemiologia clínica da dor músculo-esquelética. Rev Med. (Sao Paulo). 2001;80(Pt 1):1-21.
Kovach CR, Noonan PE, Griffie J, Muchka S, Weissman DE.Use of the assessment of discomfort in dementia protocol. Appl Nurs Res. 2001;14(4):193-200.
Lane P, Kuntupis M, MacDonald S, McCarthy P, Panke JA, Warden V, et al. A pain assessment tool for people with advanced Alzheimer's and other progressive dementias. Home Healthc Nurse. 2003;21(1):32-7.
Loeser JD, Melzack R. Pain: an overview. Lancet. 1999;353(9164):1607-9.
Melzack R. Pain--an overview. Acta Anaesthesiol Scand. 1999;43(9):880-4.
Gloth FM 3rd. Geriatric pain. Factors that limit pain relief and increase complications. Geriatrics. 2000;55(10):46-8,51-4.
Huskisson EC. Measurement of pain. Lancet. 1974;2(7889):1127-31.
Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986;27(1):117-26.
Gagliese L, Melzack R. Chronic pain in elderly people. Pain. 1997;70(1):3-14.
Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987;30(2):191-7.
Stein C, Mendl G. The German counterpart to McGill Pain Questionnaire. Pain. 1988;32(2):251-5.
De Benedittis G, Massei R, Nobili R, Pieri A. The Italian Pain Questionnaire. Pain. 1988;33(1):53-62.
Pimenta CA, Teixeira MJ. Questionário de dor McGill: proposta de adaptaçao para língua portuguesa. Rev Esc Enferm USP. 1996;30(3):473-83.
Bruce J, Poobalan AS, Smith WC, Chambers WA. Quantitative assessment of chronic postsurgical pain using the McGill Pain Questionnaire. Clin J Pain. 2004;20(2):70-5.
Castro CES. A formaçao lingüística da dor - versao brasileira do questionário McGill de dor [tese]. Sao Carlos: Universidade Federal de Sao Carlos; 1999.
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma populaçao geral: impacto da escolaridade Arq Neuropsiquiatr 1994;52(1):1-7.
Landis JR, Koch GG. The measurement of observer agreement for categorical data.Biometrics. 1977;33(1):159-74.
Gallagher RM. Treatment planning in pain medicine. Integrating medical, physical, and behavioral therapies. Med Clin North Am. 1999;83(3):823-49.
Gagliese L, Weizblit N, Ellis W, Chan VW. The measurement of postoperative pain: a comparison of intensity scales in younger and older surgical patients. Pain. 2005;117(3):412-20.
Novy CM, Jagmin MG. Pain management in the elderly orthopaedic patient. Orthop Nurs. 1997;16(1):51-7.
Jakobsson U, Rahm Hallberg I, Westergren A. Pain management in elderly persons who require assistance with activities of daily living: a comparison of those living at home with those in special accommodations. Eur J Pain. 2004;8(4):335-44.
Gallagher RM, Verma S. Managing pain and comorbid depression: a public health challenge. Semin Clin Neuropsychiatry. 1999;4(3):203-20.
Mossey JM, Gallagher RM, Tirumalasetti F.The effects of pain and depression on physical functioning in elderly residents of a continuing care retirement community. Pain Med. 2000;1(4):340-50.
Martinez-Lavin M, Lopez S, Medina M, Nava A. Use of the leeds assessment of neuropathic symptoms and signs questionnaire in patients with fibromyalgia. Semin Arthritis Rheum. 2003;32(6):407-11.
Nicholson B, Verma S. Comorbidities in chronic neuropathic pain. Pain Med. 2004;5(Suppl 1):S9-S27.
Martinez-Lavin M, Hermosillo AG, Rosas M, Soto ME. Circadian studies of autonomic nervous balance in patients with fibromyalgia: a heart rate variability analysis. Arthritis Rheum. 1998;41(11):1966-71.
Woolf CJ, Decosterd I. Implications of recent advances in the understanding of pain pathophysiology for the assessment of pain in patients. Pain. 1999;Suppl 6:S141-7.
Martinez-Lavin M. Is fibromyalgia a generalized reflex sympathetic dystrophy? Clin Exp Rheumatol. 2001;19(1):1-3.
De Souza LH, Frank AO. Subjective pain experience of people with chronic back pain. Physiother Res Int. 2000;5(4):207-19.
Herr KA, Mobily PR. Complexities of pain assessment in the elderly. Clinical considerations. J Gerontol Nurs. 1991;17(4):12-9.
Gibson SJ, Helme RD. Cognitive factors and the experience of pain and suffering in older persons. Pain. 2000;85(3):375-83.
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