Manejo da dor crônica na atenção básica por meio de um programa de autocuidado apoiado

Abstract

Introduction: Chronic pain is pain classified as persistent for more than 3 months. It can have multiple causes, has a high incidence in the world population and has generated psychosocial and economic consequences, being the main cause of suffering and incapacitation for work. The active participation of the users of the Brazilian Unified Health System should be co-chaired, seeking the coping and treatment of chronic pain based on selfcare supported. Methodology: A prospective, observational, descriptive, case series-type study was conducted, with 16 users receiving chronic complaints of pain through the NASFAB physiotherapy service. Two consultations were carried out, where the paicentes responded to an evaluation instrument. All were instructed in the first consultation with specific guidelines according to their specificities following the steps of self-care supported. Results: Most of the participants had arterial hypertension, were sedentary, had no specific diagnosis and had localized pain in the lower limbs. 11 users attended. After an average of 38 days of treatment most users reduced their pain by 55% on average in intensity. Conclusion: The results found in this study serve as an incentive for the systematization of practices that are part of the physiotherapist's work process in NASF-AB. Further studies are needed to allow longitudinal and more detailed analysis of the development and effectiveness of self-care interventions supported in the management of chronic pain in primary care.