<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492019000100041</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2019.junio.41-46</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dolor crónico y salud general autopercibida en un hospital de referencia de Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic pain and general self-perceived health in a Paraguayan reference hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Caballero]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zacaria]]></surname>
<given-names><![CDATA[Virginia Enciso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira-Gaona]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Reissner]]></surname>
<given-names><![CDATA[Clarisse]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Previsión Social Hospital Central Servicio de Medicina Familiar]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221; Posgrado de Especialidades Médicas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción  ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>46</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492019000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492019000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492019000100041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El dolor constituye el principal motivo de consulta en Atención Primaria de Salud. El dolor crónico es uno de los mayores desafíos con los que se encuentra el médico en la consulta ambulatoria.  Objetivo:  Relacionar la autopercepción del nivel de intensidad en presencia de dolor crónico con la autovaloración de la propia salud general en pacientes que acudieron al Servicio de Medicina Física y Rehabilitación del Hospital Central del Instituto de Previsión Social en el año 2018.  Materiales y Métodos: El diseño del estudio fue transversal. Se entregó a los participantes del estudio un cuestionario con preguntas cerradas sobre edad, sexo, procedencia y patología de base; las escalas de Walco &amp; Howite y Verbal de Autopercepción de la salud.  Resultados: Participaron 62 pacientes, con mediana de 65 años, el 85,48% fueron mujeres, el 80,65% procedió de zonas urbanas. El 87,10% eran portadores de artropatías y el 67,74% eran hipertensos. El 56,45% presentó dolor intermitente, localizado con mayor frecuencia en miembros inferiores y en miembros superiores, de intensidad severa en 35,48% de los casos. En cuanto a la autovaloración de la salud, el 46,77% la consideró regular y el 41,93% buena. Existe relación estadísticamente significativa entre la autopercepción de la intensidad del dolor crónico y la autovaloración de la salud general (p=0,007).  Conclusión: La mayoría de los pacientes que percibieron dolor leve y moderado consideraron gozar de buena salud, mientras que la mayoría de los pacientes que percibieron dolor severo y máximo imaginable refirieron encontrarse en regular estado de salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Pain is the main reason for consultation in Primary Health Care. Chronic pain is one of the biggest challenges that the doctor finds in the outpatient clinic.  Objective:  To relate the self-perception of the intensity level in the presence of chronic pain with the self-assessment of their own general health in patients who went to the Physical Medicine and Rehabilitation Service of the Central Hospital of the Institute of Social Welfare in 2018.  Methodology:  The design of the study was transversal. A questionnaire with closed questions was given to the study participants, where data such as age, sex, origin and basic pathology were collected. Besides this, the Walco &amp; Howite Scale and the Verbal Scale of Self-perception of health was included.  Results:  62 patients participated, with a median age of 65 years, 85.48% were women, and 80.65% came from urban areas. 87.10% were carriers of arthropathies and 67.74% were hypertensive. 56.45% of patients presented intermittent pain, located more frequently in lower limbs and upper limbs, of severe intensity in 35.48% of cases. Regarding the self-assessment of health, 46.77% considered it regular and 41.93% considered it good. There is a statistically significant relationship between the intensity of chronic pain self-perception and the self-assessment of general health (p = 0.007).  Conclusion:  The majority of patients who perceived mild and moderate pain considered to be in good health, while the majority of patients who perceived severe and maximum pain imaginable reported being in a regular state of health.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor Crónico]]></kwd>
<kwd lng="es"><![CDATA[Percepción Del Dolor]]></kwd>
<kwd lng="es"><![CDATA[Autoimagen]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[Chronic Pain]]></kwd>
<kwd lng="en"><![CDATA[Pain Perception]]></kwd>
<kwd lng="en"><![CDATA[Self-Concept Paraguay]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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