Análise de publicações referente a intervenções para a dor crônica: uma revisão de escopo
Abstract
Chronic pain is a globally recognized and multifaceted condition, notable for
its complexity, causes, and health impacts. Primary Health Care is of paramount importance
for the implementation of Multidisciplinary Care Lines to ensure comprehensive treatment.
This study aims to support innovative practices within the Unified Health System,
acknowledging the need for more efficient approaches to address the growing prevalence of
chronic pain. Objectives: The objectives include mapping the feasibility of a
multidisciplinary care line for chronic pain, analyzing literature on chronic pain, treatment,
and professional practices; proposing guidelines and creating a care line. Methodology: The
study's methodology involves a scope review and documentary analysis with a qualitative
approach, following the recommendations of the Joanna Briggs Institute and PRISMA-ScR.
It encompasses literature on chronic pain, healthcare, and legislations, aiming to map and
identify gaps. The research strategy involved terms such as "Chronic Pain," "Delivery of
Healthcare," and "Healthcare Models." The search took place on databases such as SciELO,
PubMed, MEDLINE, and Cochrane, with defined inclusion and exclusion criteria. After
study selection, data extraction followed a validated instrument, and the analysis considered
the level of evidence and grades of recommendation. Results were organized into categories
such as articles, protocols, and recommendations, providing a comprehensive view of the
topic in Primary Health Care. Results and Discussion: The scope review highlighted the
effectiveness of multidisciplinary approaches, such as psychological interventions and
physical treatments, emphasizing the importance of Cognitive-Behavioral Therapy (CBT). It
revealed the complexity of chronic pain management, underscoring the need for an integrated
approach. It noted the diversity of factors influencing pain perception, including psychosocial
aspects and physiological mechanisms. The study addressed challenges faced by healthcare
professionals and the urgency of evidence-based practices. It emphasized the importance of
self-management of chronic pain with effective interventions and governmental recognition.
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