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dc.contributor.advisorMeléndez Flórez, Héctor Julio
dc.contributor.advisorRangel Jaimes, German William
dc.contributor.authorVera Campos, Julián Andrés
dc.date.accessioned2020-06-26T19:47:58Z
dc.date.available2020-06-26T19:47:58Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/20.500.12749/1631
dc.description.abstractIntroducción: 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 subescalasspa
dc.description.tableofcontentsRESUMEN 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 59spa
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.titleEfecto del intervencionismo en dolor crónico no oncológico sobre la catastrofización del dolorspa
dc.title.translatedEffect of interventionism in chronic non-cancer pain on pain catastrophizationeng
dc.degree.nameEspecialista en Anestesiología
dc.coverageBucaramanga (Santander, Colombia)
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNAB
dc.rights.localAbierto (Texto Completo)spa
dc.publisher.facultyFacultad Ciencias de la Salud
dc.publisher.programEspecialización en Anestesiología
dc.description.degreelevelEspecialización
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.localTesisspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.subject.keywordsChronic pain
dc.subject.keywordsCatastrophization
dc.subject.keywordsPain
dc.subject.keywordsMedicine
dc.subject.keywordsAnesthesiology
dc.subject.keywordsPrevention and control
dc.subject.keywordsInvestigations
dc.subject.keywordsAnalysis
dc.subject.keywordsPain intensity
dc.subject.keywordsAnalgesic interventionism
dc.subject.keywordsSensory component
dc.subject.keywordsInterventional therapy
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponamereponame:Repositorio Institucional UNAB
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2
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dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001425741
dc.contributor.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000320609
dc.contributor.orcidhttps://orcid.org/0000-0003-1791-8099
dc.subject.lembDolor crónicospa
dc.subject.lembCatastrofizaciónspa
dc.subject.lembDolorspa
dc.subject.lembMedicinaspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembPrevención y controlspa
dc.subject.lembInvestigacionesspa
dc.subject.lembAnálisisspa
dc.description.abstractenglishIntroduction: 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 subscaleseng
dc.subject.proposalIntensidad del dolor
dc.subject.proposalIntervencionismo analgésico
dc.subject.proposalComponente sensorial
dc.subject.proposalTerapia intervencionista
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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