EPIDOR: computational environment based on web system and app for chronic pain in the current Coronavirus pandemic context
DOI:
https://doi.org/10.5380/atoz.v9i2.74673Keywords:
Chronic Pain, COVID-19, Coronavirus, Digital Transformation, Electronic Information SystemAbstract
Introduction: It investigates the problems related to the informational context in the pandemic scenario, specifically those related to patients with chronic pain, which represent one of the groups vulnerable to COVID-19. This article presents a computational approach based on a web system and mobile application solution for chronic pain, called EPIDOR, capable of contributing to the process of digital transformation in the area. Method: The EPIDOR was developed based on the survey of requirements on chronic pain in the literature of the area, and with medical specialists, who also validated the requirements of the developed system. It is applied, exploratory and bibliographic research. It conducts a case study in a public hospital and a clinic specializing in pain medicine with a sample of patients with chronic pain, who will have recorded their daily pain intensity over a period, its correlation with activities and medication schedule. Results: The EPIDOR system is part of ongoing research and is being implemented in a public hospital and a clinic specialized in pain medicine. It provides support for epidemiological studies of pain in Brazil. These still lack more reliable and robust data on the incidence and prevalence of pain at the national and regional levels, especially in the current context of the COVID-19 pandemic. Conclusion: It concludes that the EPIDOR system can contribute to the digital transformation process in the area of chronic pain. The proposed approach can provide an improvement in the quality of life of this group of patients. We emphasize that this group corresponds to more than 30% of the Brazilian population.
References
Andrade, R. M. Q. (2014). Dor crônica na atenção primária: um problema de saúde pública (Monografia de Especialização em Atenção Básica em Saúde da Família). Universidade Federal de Minas Gerais. Faculdade de Medicina. Núcleo de Educação em Saúde Coletiva, Juiz de Fora, MG, Brasil. Recuperado de https://www.nescon.medicina.ufmg.br/biblioteca/imagem/4601.pdf.
Carvalho, R. C., Maglioni, C. B., Machado, G. B., Araujo, J. E., Silva, J. R. T., & Silva, M. L. (2018). Prevalence and characteristics of chronic pain in Brazil: a national internet-based survey study. Br.j.Pain., 1(4), 331-8.
Dellaroza, M. S., Pimenta C., & Matsuo, T. (2007). Prevalência e caracterização da dor crônica em idosos não institucionalizados. Cad. Saúde Pública, 23(5), 1151-60.
Fisbain, D. A., Lewis, J. E., Cole, B., Cutler, R. B., Rosomoff, H. L., & Rosomoff, R. S. (2007). Variables associated with current smoking status in chronic pain patients. Pain Med, 8(4), 301-11.
Fitzgerald, M., et al. (2013). Embracing digital technology: a new strategic imperative. Cambridge: MIT Sloan Management Review.
Gil, A. C. (2019). Como elaborar projetos de pesquisa (6a ed.). São Paulo: Atlas.
Haddad, J. J., Saadé, N. E., & Safieh-Garabedian, B. (2002). Cytokines and neuro–immune–endocrine interactions: a role for the hypothalamic–pituitary–adrenal revolving axis. Journal of neuroimmunology, 133(1-2), 1-19.
Ho, C. S., Chee, C. Y., & Ho, R. C. (2020). Mental Health Strategies to Combat the Psychological Impact of COVID-19 Beyond Paranoia and Panic. Ann Acad Med Singapore, 49(3), 155–160. Recuperado de https://pubmed.ncbi.nlm.nih.gov/32200399/
Hossain, M. M., Sultana, A., & Purohit, N. (2020). Mental health outcomes of quarantine and isolation for infection prevention: a systematic umbrella review of the global evidence. PsyArXiv Preprints, 1–27. doi: https://doi.org/10.31234/OSF.IO/DZ5V2.
Kreling, M. C. G. D., Cruz, D. A. L., & Pimenta, C. A. M. (2006). Prevalência de dor crônica em adultos. Revista Brasileira de Enfermagem, 59(4), 509-513.
Lei nº 13.989, de 16 de abril de 2020. Dispõe sobre o uso da telemedicina durante a crise causada pelo coronavírus (SARS-CoV-2). Recuperado de http://www.in.gov.br/web/dou/-/lei-n-13.989-de-15-de-abril-de-2020-252726328
Lima, C. K. T., Carvalho, P. M. de M., Lima, I. de A. A. S., Nunes, J. V. A. de O., Saraiva, J. S., de Souza, R. I., da Silva, C. G. L., & Neto, M. L. R. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Research, 287, 112915. https://doi.org/10.1016/j.psychres.2020.112915
Marconi, M. A., & Lakatos, E. M. (2002). Técnicas de pesquisa: planejamento e execução de pesquisas, amostragens e técnicas de pesquisas, elaboração, análise e interpretação de dados (5a ed.). São Paulo: Atlas.
Minghelli, B., et al. (2020) Physiotherapy services in the face of a pandemic. Revista da Associação Médica Brasileira, 66(4), 491-497. Recuperado de https://dx.doi.org/10.1590/1806-9282.66.4.491
Nascimento, M. G., Iorio, G., Thomé, T. G., Medeiros, A. A. M., Mendonça, F. M., Campos F. A., David, J. M., Ströele, V., & Dantas, M. A. R. (2020). Covid-19: A Digital Transformation Approach to a Public Primary Healthcare Environment. IEEE workshop on ICT Solutions for eHealth. Proceedings IEEE Symposium on Computers and Communications (ISCC).
Organização Pan-Americana da Saúde [OPS/OMS]. Unidade de Saúde Mental e Uso de Substâncias. (2016). Protección de la salud mental y atención psicosocial en situaciones de epidemias. Recuperado de https://www.paho.org/disasters/index.php?option=com_docman&view=download&category_slug=informes-tecnicos&alias=2539-proteccion-salud-mental-atencion-psicosocial-situaciones-epidemias-2016-539&Itemid=1179&lang=en
Pereira, M. D., Oliveira, L. C., Costa, C. F. T., Bezerra, C. M. O., Pereira, M. D., Santos, C. K. A., & Dantas, E. H. M. (2020). The COVID-19 pandemic, social isolation, consequences on mental health and coping strategies: an integrative review. Research, Society and Development, 9(7), 1-35. doi: http://dx.doi.org/10.33448/rsd-v9i7.4548
Pimenta, C. A. M. (1994). Escalas de avaliação de dor. In: M. D. Teixeira (ed.). Dor conceitos gerais. São Paulo: Limay, 46-56.
Portaria SAS/MS nº 1083, de 02 de outubro de 2012. Aprova o Protocolo Clínico e Diretrizes Terapêuticas Dor Crônica. Retificada em 27 de novembro de 2015. Recuperado de http://bvsms.saude.gov.br/bvs/saudelegis/sas/2012/prt1083_02_10_2012.html
Queiroz, L. P., Barea L. M., & Blank, N. (2006). An epidemiological study of headache in Florianopolis, Brazil. Cephalalgia, 26(2), 122-7.
Raberg, L., Grahn, M., Hasselquist, D., & Svensson, E. (1998). On the adaptive significance of stress-induced immunosuppression. Proceedings of the Royal Society of London. Series B: Biological Sciences, 265.1406, 1637-1641.
Rede Diário de Comunicação (2020, maio 12). Medo de COVID-19 faz pacientes de fibromialgia não buscarem ajuda. Recuperado de https://d24am.com/saude/medo-de-covid-19-faz-pacientes-de-fibromialgia-nao-buscarem-ajuda/
Ricciardi, W., Barros, P. P., Bourek, A., Brouwer, W., Kelsey, T., & Lehtonen, L. (2019). Expert Panel on Effective Ways of Investing in Health (EXPH), How to govern the digital transformation of health services, European Journal of Public Health, 29(Supplement 3), 7–12.
Rocha, T. A. H., Fachini L. A., Thumé, E., Silva N. C, Barbosa, A. C. Q., Carmo, M., & Rodrigues J. M. (2016). Saúde Móvel: novas perspectivas para a oferta de serviços em saúde. Epidemiol. Serv. Saúde, 25(1), 159-170.
Sá, K., Baptista, A. F., Matos, M. A., & Lessa, Ines. (2009). Prevalência de dor crônica e fatores associados na população de Salvador, Bahia. Revista de Saúde Pública, 43(4), 622-630.
Sundmaeker, H., Guillemin, P., Friess, P., & Woelfflé. S. (2010). Vision and Challenges for Realizing the Internet of Things In: Brussels, Belgium: European Commision, 2010. Recuperado de: https://docbox.etsi.org/zArchive/TISPAN/Open/IoT/CERP-IOT_Clusterbook_2009.pdf
Tardieu, H., Daly D., Esteban-Lauzán J., Hall J., and Miller G. (2020). Case Study 2: The Digital Transformation of Health Care. In: Deliberately Digital. Future of Business and Finance. Springe, Cham. Doi: https://doi.org/10.1007/978-3-030-37955-1_23.
Teixeira, M. J., Teixeira W. G. J., Santos F. P. S., Andrade D. C. A., Bezerra S. L., Figueiró J. B., & Okada M. (2001). Epidemiologia clínica da dor músculo-esquelética. Rev Med., 80(Spec), 1-21.
Toolboom, I. (2016). The impact of digital transformation (Master in System Engineering, Policy analysis and Management). Faculty of Technology, Policy and Management, Delf University of Technology, Delft.
Vachon-Presseau, E., Roy, M., & Martel, M. O., et al. (2013). The stress model of chronic pain: evidence from basal cortisol and hippocampal structure and function in humans. Brain, 136(3), 815-827.
Vasconcelos, F. H., & Araújo, G. C., (2018). Prevalence of chronic pain in Brazil: a descriptive study. Br J Pain., 1(2), 176-9.
Vles, G. F., de Louw, J. A., & Speth, L. A., et al. (2008). Visual Analogue Scale to score the effects of Botulinum Toxin A treatment in children with cerebral palsy in daily clinical practice. European Journal of Paediatric Neurology, 12, 231-238.
Williams, B. (2020, fevereiro 26). Mental health concerns arise amid COVID-19 epidemic psychiatry advisor. Psychiatry Advisor, General Psychiatry. Recuperado de https://www.psychiatryadvisor.com/home/topics/general-psychiatry/mental-health-concerns-arise-amid-covid-19-epidemic/
World Economic Forum. (2016). World Economic Forum Annual Meeting, 2016.
Yang, Y., Li, W., Zhang, Q., Zhang, L., Cheung, T., Xiang, Y.T., 2020. Mental health services for older adults in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4). doi: https://doi.org/10.1016/S2215-0366(20)30079-1
Zhang, J., et al., (2020). Recommended psychological crisis intervention response to the 2019 novel coronavirus pneumonia outbreak in China: a model of West China Hospital, Precision Clinical Medicine, 3(1), 3–8.
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