RESUMO
BACKGROUND: The prevalence of chronic pain in Spain is 17%. There is a need for more scientific data on non-drug treat-ments that can be effectively used to treat chronic pain. The aim of this study is to analyze how patients with chronic non-malignant pain perceive non-drug approaches. METHOD: Mixed, descriptive and phenomenological study. Nineteen patients enrolled in a workshop on pain management and non-drug treatments that consisted of four sessions (one session a week). Each session lasted four hours. The patients then participated in a reflective writing activity about their personal experiences. Data from this activity was then ana-lyzed. Atlas.ti 8 software was used for the qualitative data analysis. RESULTS: Sixteen participants tried an alternative therapy and fourteen assessed its benefits. The participants' expecta-tions were divided into three groups of similar size: relief from physical pain, emotional pain management and tools for use in daily life. All the participants were satisfied with the workshop. Perceived personal benefits were better pain and sleep management, reduced fatigue, reduced drug consumption; a more positive approach to life, better mood, more positive energy, more motivation and improved capacity to cope. CONCLUSIONS: The participants commented that the workshop had helped them to reduce pain levels and consume to fewer analgesics, and had reduced other symptoms associated with chronic disease, thus improving their perceived health. They also expressed great satisfaction with the organization and teachers.
Assuntos
Dor Crônica , Analgésicos , Humanos , Manejo da Dor , Percepção , EspanhaRESUMO
FUNDAMENTO: La prevalencia de dolor crónico en España es del 17%. Es conveniente recopilar evidencia científica acerca de las terapias no farmacológicas que sean efectivas para el tratamiento del dolor crónico. El objetivo fue analizar las percepciones sobre las terapias no farmacológicas de los pacientes con dolor crónico no oncológico. MÉTODO: Estudio mixto, descriptivo y fenomenológico. Se realizó un taller de control del dolor mediante terapias no farmacológicas de cuatro sesiones (una a la semana), de cuatro horas de duración cada una, en el que participaron 19 pacientes. Se analizó la escritura reflexiva sobre las vivencias personales de cada uno de los participantes. Se utilizó el software Atlas Ti 8 para analizar los datos cualitativos. RESULTADOS: Dieciséis participantes habían probado alguna terapia alternativa y catorce valoraban sus beneficios. Las expectativas de los participantes se clasificaron en tres grupos de similar tamaño: alivio del dolor físico, manejo del dolor emocional, y herramientas aplicables en su vida cotidiana. Todos los participantes estuvieron satisfechos con el taller. Los beneficios personales percibidos fueron mejor manejo del dolor y del sueño; disminución de la fatiga; reducción del consumo de medicamentos; mejora de la actitud ante la vida, del estado emocional, mayor energía positiva y motivación, y mejor afrontamiento. CONCLUSIONES: Los participantes afirmaron que el taller les había ayudado a disminuir el dolor y el consumo de analgésicos, así como otros síntomas asociados a la enfermedad crónica, mejorando por tanto su salud percibida. Además, manifestaron gran satisfacción con la organización y las docentes
BACKGROUND: The prevalence of chronic pain in Spain is 17%. There is a need for more scientific data on non-drug treatments that can be effectively used to treat chronic pain. The aim of this study is to analyze how patients with chronic non-malignant pain perceive non-drug approaches. Method. Mixed, descriptive and phenomenological study. Nineteen patients enrolled in a workshop on pain management and non-drug treatments that consisted of four sessions (one session a week). Each session lasted four hours. The patients then participated in a reflective writing activity about their personal experiences. Data from this activity was then analyzed. Atlas.ti 8 software was used for the qualitative data analysis. RESULTS: Sixteen participants tried an alternative therapy and fourteen assessed its benefits. The participants' expectations were divided into three groups of similar size: relief from physical pain, emotional pain management and tools for use in daily life. All the participants were satisfied with the workshop. Perceived personal benefits were better pain and sleep management, reduced fatigue, reduced drug consumption; a more positive approach to life, better mood, more positive energy, more motivation and improved capacity to cope. CONCLUSIONS: The participants commented that the work-shop had helped them to reduce pain levels and consume to fewer analgesics, and had reduced other symptoms associated with chronic disease, thus improving their perceived health. They also expressed great satisfaction with the organization and teachers
Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Dor Crônica/terapia , Dor Crônica/epidemiologia , Percepção , Atenção Plena/métodos , Manejo da Dor , Qualidade de Vida/psicologia , Terapias Complementares , Pesquisa Qualitativa , Pessoas com Deficiência/estatística & dados numéricos , Nível de SaúdeRESUMO
The hrp/wts gene cluster of Pantoea stewartii subsp. stewartii is required for pathogenicity on sweet corn and the ability to elicit a hypersensitive response (HR) in tobacco. Site-directed transposon mutagenesis and nucleotide sequencing were used to identify hrp/wts genes within the left 20 kb of this cluster. Seventeen open reading frames (ORFs) comprise seven genetic complementation groups. These ORFs share homology with hrp and dsp genes from Erwinia amylovora, Erwinia chrysanthemi, and Pseudomonas syringae pathovars and have been designated, in map order, wtsF, wtsE, hrpN, hrpV, hrpT, hrcC, hrpG, hrpF, hrpE, hrpD, hrcJ, hrpB, hrpA, hrpS, hrpY, hrpX, and hrpL. Putative hrp consensus promoter sequences were identified upstream of hrpA, hrpF, hrpN, and wtsE. Expression of the hrpA, hrpC, and wtsE operons was regulated by HrpS. Transposon mutations in all of the hrp operons abolished pathogenicity and HR elicitation, except for the hrpN and hrpV mutants, which were still pathogenic. hrpS, hrpXY, and hrpL regulatory mutations abolished HrpN synthesis, whereas secretory mutations in the hrpC, hrpA, and hrpJ operons permitted intracellular HrpN synthesis. wtsEF mutants were not pathogenic but still produced HrpN and elicited the HR. wtsE encodes a 201-kDa protein that is similar to DspE in E. amylovora and AvrE in P. syringae pv. tomato, suggesting that this protein is a major virulence factor involved in the elicitation of water-soaked lesions.
