Guidelines on transfers in the reduction of chronic low back pain intensity of family caregivers in a palliative care ambulatory: pilot study
DOI:
https://doi.org/10.11606/issn.2317-0190.v25i4a163859Keywords:
Caregivers, Moving and Lifting Patients, Low Back Pain, Palliative CareAbstract
Objective: To evaluate the efficacy of strategy of verbal and written guidance on transference in the reduction of low back pain in the family caregiver of patients in palliative care; the impact on the performance of the daily tasks of the caregiver before and after the intervention and whether adherence to the guidelines resulted in a significant clinical improvement of pain and performance in the activities. Method: This is a pilot clinical trial, performed at the HCFMUSP palliative care outpatient. Four family caregivers were divided into two groups. The intervention group received verbal and written guidance and the group controlled verbal guidance. The analysis of the data was performed by measurement of proportion and analysis of statistical significance by the Fisher exact test. The correlation between the variables will be performed through logistic regression. Results: Due to the small sample size, preliminary results on the efficacy of the intervention to reduce pain and increase performance in family caregivers did not demonstrate statistical significance. The descriptive analysis of adherence to the recommendations points to a promising tendency towards the feasibility of the educational intervention. Conclusion: The relevance of this pilot test is due to the preliminary evaluation of the time needed to recruit an adequate number of participants and the tendency of good adherence to the intervention. The difficulty of recruiting end-of-life patients is predictable due to reduced survival time and the complexity of care. The effectiveness of the intervention can only be demonstrated by adjusting the sample size.
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References
Conceição LFS. Saúde do idoso: orientações ao cuidador do idoso acamado. Rev Med Minas Gerais 2010;20(1):81-91.
Vieira CPB, Fialho AVM. Perfil de cuidadores familiares de idosos com acidente vascular cerebral isquêmico. Rev Rene. 2010;11(2):161-9.
Castro LM, Souza DN. Programa de intervenção psicossocial aos cuidadores informais familiares: o cuidar e o autocuidado. Rev Interacções. 2016;12(42):150-62. DOI: https://doi.org/10.25755/int.11819
Diogo JO, Botelho MA, HIGGS I. Lombalgia em idosos prestadores de cuidados familiares- prevalência e características [Dissertação]. Lisboa: Faculdade de Ciências Médicas Universidade Nova de Lisboa; 2014.
Duval Neto GF. Dor aguda versus dor crônica. In: Alves Neto O, Costa CMC, Siqueira JTT. Dor: princípios e prática. Porto Alegre: Artmed; 2009. p.319-34.
Martelli A, Zavarize SF. Vias nociceptivas da dor e seus impactos nas atividades da vida diária. Uniciências. 2013;17(1):47-51.
World Health Organization. National cancer control programmes: policies and managerial guidelines. 2 ed. Geneva: WHO; 2002.
Vasconcelos GB, Pereira PM. Cuidados paliativos em atenção domiciliar: uma revisão bibliográfica. Rev Adm Saúde. 2018;18(70).
Karcioglu O, Topacoglu H, Dikme O, Dikme O. A systematic review of the pain scales in adults: Which to use? Am J Emerg Med. 2018;36(4):707-714. DOI: https://doi.org/10.1016/j.ajem.2018.01.008
Ocarino JM, Gonçalves GGP, Vaz DV, Cabral AAV, Porto JV, Silva MT. Correlação entre um questionário de desempenho funcional e capacidade física em pacientes com lombalgia. Rev Bras Fisioter. 2009;13(4):343-9. DOI: http://dx.doi.org/10.1590/S1413-35552009005000046
Parreira P, Heymans MW, van Tulder MW, Esmail R, Koes BW, Poquet N, et al. Back Schools for chronic non-specific low back pain. Cochrane Database Syst Rev. 2017;8: CD011674. DOI: https://doi.org/10.1002/14651858.CD011674.pub2
Furhman AC, Bierhals CCBK, Santos NO, Paskulin LMG. Associação entre a capacidade funcional de idosos dependentes e a sobrecarga do cuidador familiar. Rev Gaúcha Enferm. 2015;36(1):14-20. DOI: http://dx.doi.org/10.1590/1983-1447.2015.01.49163
Diniz MAA, Melo BRS, Neri KH, Casemiro FG, Figueiredo LC, Gaioli CCLO, et al. Estudo comparativo entre cuidadores formais e informais de idosos. Ciênc Saúde Coletiva. 2018;23(11):3789-98. DOI: http://dx.doi.org/10.1590/1413-812320182311.16932016
Mallmann DG, Neto NMG, Sousa JC, Vasconcelos EMR. Educação em saúde como principal alternativa para promover a saúde do idoso. Ciênc Saúde Coletiva. 2015;20(6):1763-72. DOI: http://dx.doi.org/10.1590/1413-81232015206.02382014
Zottmann JM, Dieckmann P, Taraszow T, Rall M, Fischer F. Just watching is not enough: Fostering simulation-based learning with collaboration scripts. GMS J Med Educ. 2018;35(3):Doc35. DOI: https://doi.org/10.3205/zma001181
Fernandes BCW, Ferreira KCP, Marodin MF, Val MON, Fréz AR. Influência das orientações fisioterapêuticas na qualidade de vida e na sobrecarga de cuidadores. Fisioter Mov. 2013;26(1):151-8. DOI: http://dx.doi.org/10.1590/S0103-51502013000100017
Garcia CC, Santos FRPS, Santos MS, Negri NB. Adesão às orientações prescritas em domicílio para pacientes com sequela de acidente vascular encefálico. ConScientiae Saúde.2018;17(2):144-1. DOI: https://doi.org/10.5585/conssaude.v17n2.8023
Escolar-Reina P, Medina-Mirapeix F, Gascón-Cánovas JJ, Montilla-Herrador J, Valera-Garrido JF, Collins SM. Self-management of chronic neck and low back pain and relevance of information provided during clinical encounters: an observational study. Arch Phys Med Rehabil. 2009;90(10):1734-9. DOI: https://doi.org/10.1016/j.apmr.2009.05.012
Arruda CS, Pereira JMV, Figueiredo LS, Scofano BS, Flores PVP, Cavalcante ACD. Efeito do grupo de orientação em pacientes com insuficiência cardíaca crônica: ensaio clínico randomizado. Rev Latino-Am Enfermagem. 2017;25:e2982. DOI: https://doi.org/10.1590/1518-8345.2167.2982
Carvalho LFGL, Branco TP. Avaliação da dor. In: Carvalho RT, Souza MRB, Franck EM, Polastrini RTV, Crispim D, Jales SMCP, et al. Manual da residência de cuidados paliativos: abordagem multidisciplinar. Barueri: Manole; 2018. p.109-15.
Maciel MGS, Carvalho RT. Palliative Performance Scale (PPSv2) - tradução Brasileira para língua portuguesa. São Paulo; 2009.
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