Pain evaluation in patients with fibromyalgia: integrative review

Abstract

Introduction: Fibromyalgia is a difficult disease to control, which impacts on the social and professional life of individuals, incapacitating them from carrying out activities of daily living and which leads to pain. Objective: To identify instruments in the literature to assess pain in patients with fibromyalgia. Methods: Integrative review study carried out on the VHL portal, in the PubMed, Embase and Cinahl databases. The following inclusion criteria were used: articles published between 2014 to 2019, in Portuguese, English, and Spanish. Results: The sample consisted of 30 studies developed in several countries. Fibromyalgia has been described as a chronic pathology, difficult to control, spread throughout the world. Categorization and quantitative of articles: level of evidence I: 1, level of evidence II: 14 (46.66%) and level of evidence III: 15 (50%). Nonrandomized clinical trial: 13 (43.33%), randomized clinical trial: 12 (40%), clinical trial with control group: 3 (10%), meta-analysis: 1 (3.33%) and intervention study, quasi-experimental: 1 (3.33%). Discussion: The use of more than 20 methods for pain assessment was observed, with the majority of studies combining instruments for this. Conclusions: Pain assessment is essential to promote effective care for people with fibromyalgia. Health professionals, at all levels of care, must be trained to use instruments that facilitate the understanding and assessment of pain by the health network user, promoting comprehensive and humanized care. Keywords: Fibromyalgia; Pain; Chronic pain; Pain measurement.

Keywords

• fibromyalgia
• pain
• chronic pain
• pain measurement