{"id":13192,"date":"2001-08-10T00:00:00","date_gmt":"2001-08-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-de-la-eficacia-del-metodo-centrado-en-el-paciente-en-sujetos-con-dolor-cronico-musculoesqueletico-generalizado-no-articular-en-atencion-primaria\/"},"modified":"2001-08-10T00:00:00","modified_gmt":"2001-08-10T00:00:00","slug":"evaluacion-de-la-eficacia-del-metodo-centrado-en-el-paciente-en-sujetos-con-dolor-cronico-musculoesqueletico-generalizado-no-articular-en-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-de-la-eficacia-del-metodo-centrado-en-el-paciente-en-sujetos-con-dolor-cronico-musculoesqueletico-generalizado-no-articular-en-atencion-primaria\/","title":{"rendered":"Evaluaci\u00f3n de la eficacia del m\u00e9todo centrado en el paciente en sujetos con dolor cr\u00f3nico musculoesquel\u00e9tico generalizado no articular en atenci\u00f3n primaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel Mu\u00f1oz Alamo <\/strong><\/h2>\n<p>El dolor cr\u00f3nico musculoesquel\u00e9tico generalizado\/fibromialgia (dcmg\/fm) es un cuadro de elevada preValencia en la poblaci\u00f3n general y en las consultas de atenci\u00f3n primaria y con una gran repercusi\u00f3n socioecon\u00f3mica. El abordaje centrado en el paciente (acp) est\u00e1 siendo utilizado por muchos m\u00e9dicos de familia, aunque la evidencia sobre su efectividad s\u00fan son limitadas.  objetivo  analizar la eficacia del acp en sujetos con dcmg\/fm atendidos en consultas de medicina general en comparaci\u00f3n con el abordaje habitual.  m\u00e9todos  estudio experimental, multic\u00e9ntrico, aleatorizado por grupos y simple ciego. 20 m\u00e9dicos de familia fueron aleatoriamente distribuidos en dos grupos de 10 para recibir o no un curso interactivo en acp. Fueron reclutados 110 pacientes con dcmg\/fm, que fueron reevaluados a los 6 y 12 meses.  mediciones principales  intensidad del dolor (escala anal\u00f3gica visual), puntos dolorosos, ansiedad y depresi\u00f3n (test de goldberg), salud autopercibida (nhp), y apoyo social (duke-unc) y familiar (apgar-familiar).  an\u00e1lisis  se realiz\u00f3 an\u00e1lisis por intenci\u00f3n de tratar. El an\u00e1lisis estad\u00edstico fundamental fue el anova.  resultados  81 pacientes completaron el estudio. Hubo diferencias estad\u00edsticamente significativas entre grupo experimental y control (a favor del primero) a la finalizaci\u00f3n del estudio con respecto a los valores iniciales en el n\u00famero de puntos dolorosos (9,6\/7,0 y 7,3\/7,2: p=0,05) y con el nivel de ansiedad (6,2\/4,6 y 5,2\/5; p=0,04). La intensidad del dolor y la subescala \u00abdolor\u00bb del nhp disminuyeron tambi\u00e9n aunque de forma no significativa en el grupo de intervenci\u00f3n con respecto al control. Al analizar separadamente el resultado de la intervenci\u00f3n en sujetos con dmg disminuyeron significativamente las puntuaciones de la subescalas del nhp, \u00abdolor\u00bb (42,2\/31,5 y 50,4\/49,4; p=0,01) y \u00abmovilidad f\u00edsica\u00bb (21,5\/16,7 y 27,7\/29,8; p=0,02).  conclusiones  despu\u00e9s de un a\u00f1o, el abordaj<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n de la eficacia del m\u00e9todo centrado en el paciente en sujetos con dolor cr\u00f3nico musculoesquel\u00e9tico generalizado no articular en atenci\u00f3n primaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n de la eficacia del m\u00e9todo centrado en el paciente en sujetos con dolor cr\u00f3nico musculoesquel\u00e9tico generalizado no articular en atenci\u00f3n primaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel Mu\u00f1oz Alamo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 08\/10\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Roger Ruiz Moral<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Perez jimenez <\/li>\n<li>pedro pablo Bonal pitz (vocal)<\/li>\n<li>Jorge Mart\u00ednez de la iglesia (vocal)<\/li>\n<li>Jos\u00e9 Luis Gonz\u00e1lez de rivera revuelta (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Mu\u00f1oz Alamo El dolor cr\u00f3nico musculoesquel\u00e9tico generalizado\/fibromialgia (dcmg\/fm) es un cuadro de elevada preValencia en la 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