Teoría de la complejidad en la atención del paciente con dolor

Autores

  • Mauro Andreu a Universidad Nacional De La Matanza (UNLaM), Departamento de Salud, San Justo, Buenos Aires, Argentina; b Facultad de Ciencias de la Salud, Universidad de las Américas (UDLA), Quito, Ecuador
  • Pablo Policastro c KINÉ- Kinesiología Deportiva y Funcional, Buenos Aires, Argentina; d Unidad de Kinesiología, Hospital Durand, Buenos Aires, Argentina.
  • Tatiana Dias de Carvalho a Universidad Nacional De La Matanza (UNLaM), Departamento de Salud, San Justo, Buenos Aires, Argentina.
  • Yolanda Pardo e Consorcio de Investigación Biomédica en Red, Epidemiología y Salud Pública, Barcelona, España; f Instituto Hospital del Mar de Investigaciones Médicas, Barcelona, España; g Universidad Autónoma de Barcelona, Barcelona, España.

DOI:

https://doi.org/10.36311/jhgd.v32.13365

Palavras-chave:

complejidad, actores contextuales, profesionales de la salud, dolor, placebo, nocebo

Resumo

Los sistemas no lineales no son susceptibles de ser investigados con métodos reduccionistas. En este sentido, la teoría de la complejidad ofrece un enfoque alternativo para cuantificar la importancia de los factores contextuales (FCs) en el paciente con dolor. El resultado del uso positivo (placebo) o negativo (nocebo) de FCs en el tratamiento podría ser responsable de gran parte de un componente no específico de la eficacia del tratamiento, afectando directamente la calidad de los resultados relacionados con la salud del paciente (por ejemplo, dolor, funcionalidad o satisfacción).
En los últimos años se ha incrementado la comprensión del valor de estos efectos. A pesar del creciente interés, el conocimiento y la conciencia de ellos es actualmente limitado y heterogéneo entre profesionales de la salud, lo que reduce su valor traslacional en el campo de la salud.

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Publicado

2022-06-23

Edição

Seção

EDITORIAL