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Factores que influyen en las prácticas de manejo del dolor en personas con enfermedad de Parkinson: un estudio
Anthony Mezzini1, Saravana Kumar2, Sue Sharrad1
1Rosemary Bryant AO Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Parkinson's disease
|August 29, 2025
Resumen
El manejo del dolor para la enfermedad de Parkinson (EP) es complejo, influenciado por las creencias del paciente, las fuentes de confianza y los proveedores de atención médica. Comprender estos factores es clave para mejorar los servicios de tratamiento del dolor en la EP.
Área de la Ciencia:
- Neurología
- Tratamiento del dolor
- Investigación cualitativa
Sus antecedentes:
- La enfermedad de Parkinson (EP) presenta síntomas motores y no motores, incluido el dolor prevalente y debilitante.
- El dolor en la EP surge de mecanismos complejos, que interactúan con los síntomas motores y las comorbilidades.
- La comprensión actual de los factores que influyen en las prácticas de manejo del dolor en la EP, especialmente en Australia, es limitada.
Objetivo del estudio:
- Explorar los factores identificados por el paciente que influyen en las prácticas de manejo del dolor en las personas con enfermedad de Parkinson que viven en Australia.
- Para entender la perspectiva del paciente en la toma de decisiones terapéuticas para el dolor de la EP.
Principales métodos:
- Metodología de la investigación cualitativa descriptiva.
- Estrategia de muestreo de variación máxima para el reclutamiento de participantes.
- Entrevistas individuales y semiestructuradas y análisis temático de los datos.
Principales resultados:
- 18 participantes con EP compartieron ideas sobre su manejo del dolor.
- Se han identificado cuatro temas clave: recomendaciones de confianza, ensayo y error, características del proveedor/intervención y factores personales.
- La toma de decisiones terapéuticas está influenciada por una compleja interacción de factores externos e internos.
Conclusiones:
- La toma de decisiones con respecto al manejo del dolor en la EP es matizada y compleja.
- Las influencias externas (por ejemplo, fuentes confiables, proveedores) y los factores internos (por ejemplo, creencias, habilidades) dan forma a las elecciones de tratamiento.
- Existen brechas significativas en la prestación de servicios de atención del dolor de la enfermedad de Parkinson, lo que requiere enfoques centrados en el paciente.
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