García Espinosa María Victoria, García Vila Silvia Fernanda, Fernández de Paul María, Moreno Carrero Patricia, Prieto Checa Isabel, Izquierdo Enríquez Gema
Gerencia de Atención Primaria, Centro de salud Los Alpes, Madrid, España.
Gerencia, Centro de salud Buenos Aires, Madrid, España.
Aten Primaria. 2024 Dec;56(12):103120. doi: 10.1016/j.aprim.2024.103120.
In chronic non-oncological pain, there is a gap between the recommendations and the usual clinical practice. To improve this situation, it is essential to address unhelpful beliefs about pain in patients and health professionals. We address cultural beliefs such as thinking that pain means damage to the tissue where it is felt, that pain originates in the area where it is perceived, that it is important to rest for the tissues to heal, or that drugs and surgery are the best treatments for pain. First, professionals need to reflect on their own beliefs and question their own clinical practice: what do I believe about pain? Are these beliefs in line with current evidence? Do I follow the recommendations of clinical practice guidelines? In this way, by aligning their beliefs with the evidence, professionals will be able to begin to give appropriate educational advice to patients.
在慢性非肿瘤性疼痛中，建议与常规临床实践之间存在差距。为改善这种情况，解决患者和医护人员对疼痛的无益观念至关重要。我们探讨一些文化观念，比如认为疼痛意味着疼痛部位的组织受损、疼痛源于其被感知的区域、休息对组织愈合很重要，或者药物和手术是治疗疼痛的最佳方法。首先，专业人员需要反思自己的观念，并质疑自己的临床实践：我对疼痛有什么看法？这些观念是否与当前证据一致？我是否遵循临床实践指南的建议？通过使自己的观念与证据相符，专业人员将能够开始为患者提供适当的教育建议。
