RESUMEN
To assess the impact of the educational manual Aches and Pain, on knowledge and attitudes of patients with chronic rheumatism and paramedics, using an instrument with 40 aseverations extracted from the manual, 77 patients and 42 paramedics were studied. The assessment instrument was responded before and after reading chapters of the manual, selected by the authors. Knowledge was quantified according to the number of correct answers. Adaptation to disease, optimism and self help capacity were the evalauted attitudes, using a five point scale. The study was completed by 48 patients and 42 paramedics. Knowledge improved from 19,9ñ5,3 to 25,6ñ6,15 correct answers in the former and from 23,6ñ4,9 to 30,3ñ5,5 in the latter (p<0,001), In patients there were improvements in the degree of adaptation to disease from 3,3ñ0,9 to 4,0ñ0,8 and in selfhelp capacity from 4,0ñ0,8 to 4,3ñ0,8; optimism did not improve significantly. In conclusion, the eductinal manual had an impact on knowledge and improved rheumatic patient's attitudes towards the disease
Asunto(s)
Humanos , Reumatología/educación , Enfermedades Reumáticas , Conocimientos, Actitudes y Práctica en Salud , Educación del Paciente como Asunto , Encuestas y Cuestionarios , Personal de Salud/educación , Manual de ReferenciaRESUMEN
Con frecuencia el médico se ve enfrentado a pacientes portadores de dolor de espalda. Los cuadros pueden ser agudos o crónicos. La exploración semiológica siguiendo una pauta de examen sugiere las estructuras dolorosas. Se plantea el diagnóstico diferencial en cuatro secciones: por afecciones de las partes blandas, enfermedades de la columna vertebral, afecciones intrarraquídeas y de origen visceral; analizándose su cuadro clínico y el laboratorio en el cual debe apoyarse para el estudio. Se enfoca la terapia para el cuadro agudo y la fase crónica