ABORDAGEM DA DOR CRÔNICA NA ATENÇÃO PRIMÁRIA À SAÚDE

SARAH LAYS CAMPOS DA SILVA; Elen  dos Santos Araújo; Henrique   Brandão dos Santos; Emily  Miranda Gomes; Marlon  Araújo dos Santos; Mauro José   Araújo de Melo Filho; Ulisses  Silva Vasconcelos; Raul  Pereira da Silva; Lílian  Melo de Miranda Fortaleza

doi:10.61164/btcn3e07

Authors

SARAH LAYS CAMPOS DA SILVA Universidade Estadual do Piauí https://orcid.org/0009-0007-3604-6405
Elen dos Santos Araújo State University of Piauí https://orcid.org/0009-0003-3778-0063
Henrique Brandão dos Santos State University of Piauí https://orcid.org/0009-0006-7803-9775
Emily Miranda Gomes State University of Piauí https://orcid.org/0009-0004-1910-5467
Marlon Araújo dos Santos State University of Piauí https://orcid.org/0000-0003-4337-6940
Mauro José Araújo de Melo Filho State University of Piauí https://orcid.org/0009-0001-5285-8864
Ulisses Silva Vasconcelos State University of Piauí https://orcid.org/0009-0000-3906-7294
Raul Pereira da Silva State University of Piauí https://orcid.org/0009-0007-6988-1749
Lílian Melo de Miranda Fortaleza State University of Piauí https://orcid.org/0000-0002-1389-1266

DOI:

https://doi.org/10.61164/btcn3e07

Keywords:

Approach; Chronic Pain; Primary Care.

Abstract

Objective: To understand the approaches used in the management of chronic pain in primary health care. Methods: This is an integrative review study on the approach to chronic pain in primary health care based on articles from the last 10 years. Results: The biopsychosocial model stands out as a guiding framework for more humanized and comprehensive care, requiring health professionals to provide qualified listening, individualized planning, and joint work with other team members. Conclusion: The analysis of the studies included in the review showed that musculoskeletal chronic pain is highly prevalent in primary health care and directly impacts patients’ functionality and well-being.

References

ALZAHRANI, H.; SHIRLEY, D.; CHENG, S. W. M.; MACKEY, M.; STAMATAKIS, E. Atividade física e condições crônicas nas costas: um estudo populacional agrupado de 60.134 adultos. J Sport Health Sci. 8(4):386–393, 2019. DOI:10.1016/j.jshs.2019.01.003.

FERNÁNDEZ-RODRÍGUEZ, R.; ÁLVAREZ-BUENO, C.; TORRES-COSTOSO, A.; POZUELO-CARRASCOSA, D. P.; PASCUAL-MORENA, C.; MARTÍNEZ-VIZCAÍNO, V.; CAVERO-REDONDO, I.; REINA-GUTIÉRREZ, S. Best exercise options for reducing pain and disability in adults with chronic low back pain: Pilates, strength, core-based, and mind-body. A network meta-analysis. J Orthop Sports Phys Ther. 52(8):505–521, 2022. DOI:10.2519/jospt.2022.10671.

GOMES, A. F.; CABRAL, F. C. B.; DUARTE, M. E. P.; SANTOS, M. T. S.; TISSI, L. S.; FONTENELLE, V. T. M. Dor crônica na atenção primária. Rev Eletr Acervo Med. 24:e16602, 2024. Disponível em: https://acervomais.com.br/index.php/saude/article/view/16602

JOHNSON, M. I.; PALEY, C. A.; JONES, G.; WITTKOPF, P. G.; MULVEY, M. R. Eficácia e segurança da estimulação elétrica nervosa transcutânea (TENS) para dor aguda e crônica em adultos: uma revisão sistemática e meta-análise de 381 estudos (o estudo meta-TENS). BMJ Open. 12:e051073, 2022. DOI:10.1136/bmjopen-2021-051073.

JOYCE, C. T.; CHERNOFSKY, A.; LODI, S.; SHERMAN, K. J.; SAPER, R. B.; ROSEEN, E. J. Do physical therapy and yoga improve pain and disability through psychological mechanisms? A causal mediation analysis of adults with chronic low back pain. J Orthop Sports Phys Ther. 52(7):470–483, 2022. DOI:10.2519/jospt.2022.10813.

LIN, T.; GARGYA, A.; SINGH, H.; SIVANESAN, E.; GULATI, A. Mechanism of peripheral nerve stimulation in chronic pain. Pain Med. 21(S1):S6–S12, 2020. DOI:10.1093/pm/pnaa164.

O'KEEFFE, M.; PURTILL, H.; KENNEDY, N.; CONNEELY, M.; HURLEY, D. A. What interventions are effective for musculoskeletal pain in primary care? A systematic review and network meta-analysis of randomised controlled trials. BMJ Open. 7(10):e014350, 2017. DOI:10.1136/bmjopen-2016-014350.

Organização Mundial da Saúde. Declaração de Astana [Internet]. Genebra: OMS; 2018 [acesso em 1 jul. 2025]. Disponível em: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf

RAS, T. Chronic non-cancer pain management in primary care. S Afr Fam Pract. 62(1):e1–4, 2020. DOI:10.4102/safp.v62i1.5203.

VAN DIJK, H.; KÖKE, A. J. A.; ELBERS, S.; MOLLEMA, J.; SMEETS, R. J. E. M.; WITTINK, H. Physiotherapists using the biopsychosocial model for chronic pain: Barriers and facilitators—A scoping review. Int J Environ Res Public Health. 20(2):1634, 2023. DOI:10.3390/ijerph20021634.

VASCONCELOS, F. H.; ARAUJO, G. C. Prevalence of chronic pain in Brazil: a descriptive study. BrJP. 1(2):176–9, 2018. DOI:10.5935/2595-0118.20180034.

YAO, L.; SADEGHIRAD, B.; LI, M.; LI, J.; WANG, Q.; CRANDON, H. N.; MARTIN, G.; MORGAN, R.; FLOREZ, I. D.; HUNSKAAR, B. S.; WELLS, J.; MORADI, S.; ZHU, Y.; AHMED, M. M.; GAO, Y.; CAO, L.; YANG, K.; TIAN, J.; LI, J.; ZHONG, L.; COUBAN, R. J.; GUYATT, G. H.; AGORITSAS, T.; BUSSE, J. W. Management of chronic pain secondary to temporomandibular disorders: a systematic review and network meta-analysis of randomised trials. BMJ. 383:e076226, 2023. DOI:10.1136/bmj-2023-076226.

APPROACH TO CHRONIC PAIN IN PRIMARY HEALTH CARE

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