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Chronic low back pain patients' perceptions on self-management, self-management support, and functional ability
1Department of Physiological Nursing, School of Nursing, University of Nevada, Las Vegas, Nevada.
Summary
Patients with chronic low back pain (CLBP) primarily use medication and physical activity for self-management (SM). Healthcare providers offer support through prescriptions and encouragement, but patient concerns focus on fear and anxiety impacting function.
Area of Science:
- Pain Management
- Qualitative Health Research
- Patient-Reported Outcomes
Background:
- Chronic low back pain (CLBP) is highly prevalent, causing significant disability and societal cost.
- Self-management (SM) and self-management support (SMS) are recommended for CLBP, yet research is limited.
- Understanding patient perceptions of SM, SMS, and functional ability in CLBP is crucial.
Purpose of the Study:
- To explore chronic low back pain patients' perceptions of their self-management strategies.
- To describe patient-identified self-management support (SMS) from healthcare providers.
- To investigate patient concerns regarding functional ability in the context of chronic low back pain.
Main Methods:
- Qualitative descriptive design utilizing open-ended questions.
- Data derived from a larger non-experimental, cross-sectional study.
- Thematic analysis of participant responses on SM, SMS, and functional ability.
Main Results:
- Dominant self-management activities included medication adherence and physical activity maintenance.
- Key perceived self-management support involved medication prescription, treatment provision, and encouragement.
- Patient concerns about functional ability were predominantly linked to anxiety and fear.
Conclusions:
- Enhanced understanding of SM and SMS in chronic low back pain patients is facilitated by this research.
- There is a critical need for improved patient education and mental health support to enhance self-management.
- Healthcare professionals require proficiency in delivering effective self-management support for better patient outcomes.
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