关键词: chronic musculoskeletal pain narrative analysis qualitative research resilience thematic analysis

Mesh : Humans Musculoskeletal Pain / psychology Middle Aged Chronic Pain / psychology Female Adult Male Resilience, Psychological Qualitative Research Focus Groups Interviews as Topic

来  源:   DOI:10.1002/msc.1913

Abstract:
BACKGROUND: Living with chronic pain can have several negative consequences. However, some individuals are more resilient despite pain. Although a large body of research exploring resilience-enhancing factors exists, there is a lack of research focused on the changes of individual\'s resilience over time.
OBJECTIVE: This study aims to explore how people with chronic musculoskeletal pain (CMP) describe their experience regarding the maintenance of resilience in the long term.
METHODS: Within the framework of the qualitative research strategy, semi-structured interviews and two focus groups with 17 purposefully selected research participants (ages 29-64) were conducted. The data were analysed by integrating thematic analysis and narrative analysis.
RESULTS: To maintain resilience in the long term, it is important to take responsibility for one\'s physical and mental well-being by practicing regular ability-adjusted physical activity, giving up unrealistic expectations, focussing on finding opportunities, not obstacles, maintaining a positive future perspective, and finding significance in life despite experiencing chronic pain. Financial support from the government and access to rehabilitation can facilitate better self-care for those with limited finances.
CONCLUSIONS: This study may be useful for healthcare professionals, psychologists, social workers, and other specialists who daily encounter patients with CMP and aspire to understand the main challenges and needs of this particular group of patients.
摘要:
背景:患有慢性疼痛可能会产生一些负面影响。然而,有些人尽管痛苦,却更有韧性。尽管存在大量探索复原力增强因素的研究,缺乏关注个体韧性随时间变化的研究。
目的:本研究旨在探讨慢性肌肉骨骼疼痛(CMP)患者如何描述长期维持韧性的经历。
方法:在定性研究策略的框架内,我们对17名有意选择的研究参与者(年龄29~64岁)进行了半结构化访谈和两个焦点小组.通过整合主题分析和叙事分析对数据进行分析。
结果:为了长期保持韧性,重要的是要对一个人的身体和心理健康负责,通过练习定期调整能力的身体活动,放弃不切实际的期望,专注于寻找机会,不是障碍,保持积极的未来前景,并在经历慢性疼痛的情况下发现生活中的意义。政府的财政支持和获得康复的机会可以促进财政有限的人更好的自我保健。
结论:这项研究可能对医疗保健专业人员有用,心理学家,社会工作者,和其他专家,他们每天都会遇到CMP患者,并渴望了解这一特定患者群体的主要挑战和需求。
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