Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor

Introducción: La catastrofización definido como un patrón de respuestas cognitivas y emocionales negativas al dolor real o anticipado que incluye rumia sobre el dolor, aumento del dolor y sentimientos de desesperanza sobre el dolor, se ha demostrado que genera resultados adversos no solo en el pronó...

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Autores:
Vera Campos, Julián Andrés
Tipo de recurso:
Fecha de publicación:
2019
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/1631
Acceso en línea:
http://hdl.handle.net/20.500.12749/1631
Palabra clave:
Chronic pain
Catastrophization
Pain
Medicine
Anesthesiology
Prevention and control
Investigations
Analysis
Pain intensity
Analgesic interventionism
Sensory component
Interventional therapy
Dolor crónico
Catastrofización
Dolor
Medicina
Anestesiología
Prevención y control
Investigaciones
Análisis
Intensidad del dolor
Intervencionismo analgésico
Componente sensorial
Terapia intervencionista
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
dc.title.translated.eng.fl_str_mv Effect of interventionism in chronic non-cancer pain on pain catastrophization
title Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
spellingShingle Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
Chronic pain
Catastrophization
Pain
Medicine
Anesthesiology
Prevention and control
Investigations
Analysis
Pain intensity
Analgesic interventionism
Sensory component
Interventional therapy
Dolor crónico
Catastrofización
Dolor
Medicina
Anestesiología
Prevención y control
Investigaciones
Análisis
Intensidad del dolor
Intervencionismo analgésico
Componente sensorial
Terapia intervencionista
title_short Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
title_full Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
title_fullStr Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
title_full_unstemmed Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
title_sort Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor
dc.creator.fl_str_mv Vera Campos, Julián Andrés
dc.contributor.advisor.spa.fl_str_mv Meléndez Flórez, Héctor Julio
Rangel Jaimes, German William
dc.contributor.author.spa.fl_str_mv Vera Campos, Julián Andrés
dc.contributor.cvlac.*.fl_str_mv https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001425741
https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609
dc.contributor.orcid.*.fl_str_mv https://orcid.org/0000-0003-1791-8099
dc.subject.keywords.eng.fl_str_mv Chronic pain
Catastrophization
Pain
Medicine
Anesthesiology
Prevention and control
Investigations
Analysis
Pain intensity
Analgesic interventionism
Sensory component
Interventional therapy
topic Chronic pain
Catastrophization
Pain
Medicine
Anesthesiology
Prevention and control
Investigations
Analysis
Pain intensity
Analgesic interventionism
Sensory component
Interventional therapy
Dolor crónico
Catastrofización
Dolor
Medicina
Anestesiología
Prevención y control
Investigaciones
Análisis
Intensidad del dolor
Intervencionismo analgésico
Componente sensorial
Terapia intervencionista
dc.subject.lemb.spa.fl_str_mv Dolor crónico
Catastrofización
Dolor
Medicina
Anestesiología
Prevención y control
Investigaciones
Análisis
dc.subject.proposal.none.fl_str_mv Intensidad del dolor
Intervencionismo analgésico
Componente sensorial
Terapia intervencionista
description Introducción: La catastrofización definido como un patrón de respuestas cognitivas y emocionales negativas al dolor real o anticipado que incluye rumia sobre el dolor, aumento del dolor y sentimientos de desesperanza sobre el dolor, se ha demostrado que genera resultados adversos no solo en el pronóstico de la intensidad del dolor, duración, evolución y las respuestas emocionales que genera el individuo, por eso esta tesis de grado se centró en la aplicación de la escala de catastrofización del dolor, aplicada previo y 2 meses posteriores a la realización de una intervención analgésica por clínica de dolor, con el propósito de poder ver el impacto de estos tratamientos en el componente emocional y afectivo y no solo el sensorial. Metodología: Estudio de Cohorte prospectivo, en el cual se realizaron dos cortes transversales. Se incluyeron 130 pacientes, que incluye el 88% de la muestra calculada inicialmente. Se aplicó la escala de Catastrofización del dolor, la cual esta validada al español. Se realizó análisis antes y después de la terapia intervencionista y se analizó el porcentaje de cambio y su significancia estadística. Igualmente se realizó evaluación en cada una de las subescalas de catastrofización. Adicionalmente se evaluó la Escala de McGill en cada uno de sus ítems antes y después del procedimiento. El análisis de datos se realizó utilizando STATA / SE (versión 14, StataCorp, 2013. Stata Statistical Software: Versión 14. College Station, TX: StataCorp LP). Resultados: El intervencionismo en dolor crónico logra a 60 días una reducción de la escala de catastrofización clínica de un 70,48% al pasar del 29,82% a un 8,8%, disminución que fue significativa. Similares y significativos porcentajes de reducción se obtuvieron en cada una de las subescales de catastrofización, siendo la Rumiacion la que presento un mayor porcentaje y la magnificación el menor, 7,59% vs 51,38% respectivamente. Conclusiones: El intervencionismo analgésico en dolor crónico logra impactar positivamente sobre la catastrofización clínica. se requieren estudios de seguimiento a largo plazo para evaluar su verdadero efecto sobre cada una de las subescalas
publishDate 2019
dc.date.issued.none.fl_str_mv 2019
dc.date.accessioned.none.fl_str_mv 2020-06-26T19:47:58Z
dc.date.available.none.fl_str_mv 2020-06-26T19:47:58Z
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/1631
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
url http://hdl.handle.net/20.500.12749/1631
identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Vera Campos, Julián Andrés (2018). Efecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolor. Bucaramanga (Santander, Colombia) : Universidad Autónoma de Bucaramanga UNAB
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spelling Meléndez Flórez, Héctor JulioRangel Jaimes, German WilliamVera Campos, Julián Andréshttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001425741https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609https://orcid.org/0000-0003-1791-80992020-06-26T19:47:58Z2020-06-26T19:47:58Z2019http://hdl.handle.net/20.500.12749/1631instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABIntroducción: La catastrofización definido como un patrón de respuestas cognitivas y emocionales negativas al dolor real o anticipado que incluye rumia sobre el dolor, aumento del dolor y sentimientos de desesperanza sobre el dolor, se ha demostrado que genera resultados adversos no solo en el pronóstico de la intensidad del dolor, duración, evolución y las respuestas emocionales que genera el individuo, por eso esta tesis de grado se centró en la aplicación de la escala de catastrofización del dolor, aplicada previo y 2 meses posteriores a la realización de una intervención analgésica por clínica de dolor, con el propósito de poder ver el impacto de estos tratamientos en el componente emocional y afectivo y no solo el sensorial. Metodología: Estudio de Cohorte prospectivo, en el cual se realizaron dos cortes transversales. Se incluyeron 130 pacientes, que incluye el 88% de la muestra calculada inicialmente. Se aplicó la escala de Catastrofización del dolor, la cual esta validada al español. Se realizó análisis antes y después de la terapia intervencionista y se analizó el porcentaje de cambio y su significancia estadística. Igualmente se realizó evaluación en cada una de las subescalas de catastrofización. Adicionalmente se evaluó la Escala de McGill en cada uno de sus ítems antes y después del procedimiento. El análisis de datos se realizó utilizando STATA / SE (versión 14, StataCorp, 2013. Stata Statistical Software: Versión 14. College Station, TX: StataCorp LP). Resultados: El intervencionismo en dolor crónico logra a 60 días una reducción de la escala de catastrofización clínica de un 70,48% al pasar del 29,82% a un 8,8%, disminución que fue significativa. Similares y significativos porcentajes de reducción se obtuvieron en cada una de las subescales de catastrofización, siendo la Rumiacion la que presento un mayor porcentaje y la magnificación el menor, 7,59% vs 51,38% respectivamente. Conclusiones: El intervencionismo analgésico en dolor crónico logra impactar positivamente sobre la catastrofización clínica. se requieren estudios de seguimiento a largo plazo para evaluar su verdadero efecto sobre cada una de las subescalasRESUMEN EJECUTIVO 6 1. PROBLEMA DE INVESTIGACIÓN 7 1.1 PLANTEAMIENTO DEL PROBLEMA 7 1.2 PREGUNTA DE INVESTIGACIÓN 8 1.4 JUSTIFICACIÓN 8 2. OBJETIVOS 10 2.1 OBJETIVO GENERAL 10 2.2 OBJETIVOS ESPECÍFICOS 10 3. MARCO TEÓRICO Y ESTADO DEL ARTE 11 3.1 CATASTROFIZACIÓN EN DOLOR 11 3.1.1 Concepto 12 3.1.2 Desarrollo de la escala 13 3.1.3 Interpretación de las puntuaciones 14 3.1.4 Implicaciones en tamizaje 14 3.1.5 Determinante en los resultados relacionados con el dolor 14 3.1.6 Teoría y mecanismos 15 3.1.7 El rol de la atención 17 3.1.8 El papel de la emoción 18 3.1.9 Modulación endógena del dolor 19 3.1.10 Implicaciones de las intervenciones 20 4. METODOLOGÍA 21 4.1 TIPO DE ESTUDIO 21 4.2 LUGAR DE REALIZACIÓN 21 4.3 TIEMPO DE EJECUCIÓN 21 4.4 UNIVERSO 21 4.5 POBLACIÓN ELEGIBLE 21 4.6 CRITERIOS DE INCLUSIÓN Y EXCLUSIÓN 21 4.6.1 Criterios de inclusión 21 4.6.2 Criterios de exclusión 21 4.7 SELECCIÓN Y TAMAÑO DE LA MUESTRA 22 5. VARIABLES 23 5.1 VARIABLES RESULTADO 23 5.2 VARIABLES EXPLICATORIAS 23 5.3 VARIABLES INDEPENDIENTES 23 6. CONSIDERACIONES ÉTICAS 24 7. MANEJO DE LOS DATOS 26 7.1 PROCESO DE RECOLECCIÓN DE LA INFORMACIÓN 26 7.2 PLAN DE ANÁLISIS ESTADÍSTICO 27 8. RESULTADOS 28 9. DISCUSIÓN 40 CONCLUSIONES 43 10. BIBLIOGRAFÍA 44 ANEXOS 49 ANEXO #1 ESCALA DE CATASTROFIZACIÓN ANTE EL DOLOR 49 ANEXO #2. PUNTAJES DE CORTE CON LOS PERCENTILES 50-75 PARA LAS 3 SUBESCALAS 50 ANEXO #2. PUNTAJES DE CORTE CON LOS PERCENTILES PARA LAS 3 SUBESCALAS 51 ANEXO #3 INSTRUMENTO DE RECOLECCIÓN DE DATOS. 52 ANEXO #4 CONSENTIMIENTO INFORMADO 54 ANEXO #5 VARIABLES INDEPENDIENTES 56 11. RECURSOS Y PRESUPUESTO 57 11.1 RECURSOS 57 11.2 PRESUPUESTO 57 11.3 RECURSO HUMANO 57 12. CRONOGRAMA DE ACTIVIDADES 58 13. IMPACTOS ESPERADOS 59EspecializaciónIntroduction: Catastrophizing, defined as a pattern of negative cognitive and emotional responses to real or anticipated pain that includes rumination about pain, increased pain and feelings of hopelessness about pain, has been shown to generate adverse results not only in the prognosis of the intensity of pain, duration, evolution and the emotional responses generated by the individual, that is why this degree thesis focused on the application of the pain catastrophizing scale, applied prior to and 2 months after performing an analgesic intervention for pain clinic, with the purpose of being able to see the impact of these treatments on the emotional and affective component and not only the sensory one. Methodology: Prospective cohort study, in which two cross sections were made. 130 patients were included, which includes 88% of the sample initially calculated. The pain catastrophization scale was applied, which is validated in Spanish. Analysis was performed before and after interventional therapy and the percentage of change and its statistical significance were analyzed. Likewise, an evaluation was carried out in each one of the catastrophizing subscales. Additionally, the McGill Scale was evaluated in each of its items before and after the procedure. Data analysis was performed using STATA / SE (version 14, StataCorp, 2013. Stata Statistical Software: Version 14. College Station, TX: StataCorp LP). Results: Intervention in chronic pain achieved a reduction of 70.48% in the clinical catastrophization scale at 60 days, going from 29.82% to 8.8%, a decrease that was significant. Similar and significant reduction percentages were obtained in each of the catastrophizing subscales, with Rumination the one that presented the highest percentage and the magnification the lowest, 7.59% vs 51.38% respectively. Conclusions: Analgesic interventionism in chronic pain has a positive impact on clinical catastrophization. long-term follow-up studies are required to assess their true effect on each of the subscalesapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 2.5 ColombiaEfecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolorEffect of interventionism in chronic non-cancer pain on pain catastrophizationEspecialista en AnestesiologíaBucaramanga (Santander, Colombia)Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Anestesiologíainfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMChronic painCatastrophizationPainMedicineAnesthesiologyPrevention and controlInvestigationsAnalysisPain intensityAnalgesic interventionismSensory componentInterventional therapyDolor crónicoCatastrofizaciónDolorMedicinaAnestesiologíaPrevención y controlInvestigacionesAnálisisIntensidad del dolorIntervencionismo analgésicoComponente sensorialTerapia intervencionistaVera Campos, Julián Andrés (2018). 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Hadzic's Textbook of Regional Anesthesia and Acute Pain Management, Second Edition Nueva York: Amolca; 2009.ORIGINAL2018_Tesis_Julia_Andres_Vera_Campos.pdf2018_Tesis_Julia_Andres_Vera_Campos.pdfTesisapplication/pdf1432341https://repository.unab.edu.co/bitstream/20.500.12749/1631/1/2018_Tesis_Julia_Andres_Vera_Campos.pdf7d5a355614024faa453f2119eb2344b9MD51open access2018_Licencia_Julian_Andres_Vera_Campos.pdf2018_Licencia_Julian_Andres_Vera_Campos.pdfLicenciaapplication/pdf123038https://repository.unab.edu.co/bitstream/20.500.12749/1631/3/2018_Licencia_Julian_Andres_Vera_Campos.pdff7048cf48ccb358c3732f34a047fee0fMD53metadata only accessTHUMBNAIL2018_Tesis_Julia_Andres_Vera_Campos.pdf.jpg2018_Tesis_Julia_Andres_Vera_Campos.pdf.jpgIM Thumbnailimage/jpeg8086https://repository.unab.edu.co/bitstream/20.500.12749/1631/2/2018_Tesis_Julia_Andres_Vera_Campos.pdf.jpgafabb3bbe3c9ddf9085db2a8f76d344eMD52open access2018_Licencia_Julian_Andres_Vera_Campos.pdf.jpg2018_Licencia_Julian_Andres_Vera_Campos.pdf.jpgIM Thumbnailimage/jpeg10252https://repository.unab.edu.co/bitstream/20.500.12749/1631/4/2018_Licencia_Julian_Andres_Vera_Campos.pdf.jpg48ae4a99e48d904cf2a76caa76d5d647MD54metadata only access20.500.12749/1631oai:repository.unab.edu.co:20.500.12749/16312021-11-09 13:38:03.711open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

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