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Pain Acceptance: A Concept Analysis
1School of Nursing, Nanjing University of Chinese Medicine, Jiangsu Province, China.
Summary
Pain acceptance, defined by coexistence, willingness, and engagement, improves physical function, mental well-being, and quality of life in chronic pain patients. This concept is crucial for effective chronic pain management.
Area of Science:
- Psychology
- Nursing
- Health Sciences
Background:
- Chronic pain affects millions globally, necessitating effective management strategies.
- Pain acceptance, a key positive psychology construct, aids adaptation to chronic pain.
- Existing perspectives on pain acceptance require clarification based on current research.
Purpose of the Study:
- To define and explore the concept of pain acceptance in chronic pain.
- To understand its contribution to patient well-being and quality of life.
Main Methods:
- A comprehensive concept analysis using Walker and Avant's strategy.
- Systematic literature search across six major databases (PubMed, Web of Science, CINAHL, Science Direct, Springer Link, ProQuest).
- Analysis of 59 selected studies to identify defining attributes, antecedents, and consequences of pain acceptance.
Main Results:
- Defining attributes of pain acceptance include pain coexistence, pain willingness, and activity engagement.
- Antecedents encompass demographic factors, pain condition, psychological responses, personality, cultural background, behaviors, and social interactions.
- Pain acceptance predicts enhanced physical and social function, improved mental well-being, higher quality of life, and reduced medical costs.
Conclusions:
- This study establishes a theoretical definition of pain acceptance for chronic pain management.
- The findings provide a foundation for future research and enhance the scientific value of pain acceptance in nursing practice.
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