寻求初级医疗保健的慢性和残疾非特异性部疼痛患者的疾病感知:一种定性研究
Maaike Kragting1,2, Annelies L Pool-Goudzwaard2,3, Michel W Coppieters2,4
1Department of Physical Therapy, Research Centre for Health Care Innovations, Rotterdam University of Applied Sciences, Rochussenstraat 198, Rotterdam, 3015 EK, The Netherlands.
了解患者如何感知慢性部疼痛对于有效应对和以患者为中心的护理至关重要. 探索这些疾病的感知有助于量身定制治疗,以获得更好的肌肉骨疼痛管理结果.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 疼痛感知 疼痛感知
- 患者为中心的护理
背景情况:
- 疾病的感知显著影响肌肉骨疼痛的情绪和行为应对策略.
- 了解患者的看法是促进以患者为中心的护理的关键.
- 这项研究侧重于初级保健机构的慢性致残性非特异性部疼痛.
研究的目的:
- 探索患有慢性致残非特异性部疼痛的个体的疾病感知.
- 调查这些疾病感知的起源.
- 为了告知患者为中心的护理方法来治疗部疼痛.
主要方法:
- 20名参与者经历持续 (3个月以上) 和致残 (部残疾指数≥15) 的部疼痛的定性研究.
- 基于莱文塔尔的疾病感知常识模型的半结构面试.
- 演和归纳分析,有目的的抽样和成员验证有效性.
主要成果:
- 参与者描述了复杂的,多因素的部疼痛与显著的症状负担,思想和情绪.
- 生物医学观点主导了疼痛标签和应对策略,尽管一些参与者持有更广泛的生物心理社会观点.
- 临床医生提供的信息强烈影响了人们的看法,往往导致由于与个人经验的矛盾或不匹配而导致不确定性.
结论:
- 患者对疼痛的理解至关重要,并直接影响他们的应对机制.
- 解决'创造意义的过程'对于提供有效的以患者为中心的护理至关重要.
- 改善沟通和将信息与患者经验保持一致,可以改善慢性部疼痛的护理.
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