PDF(Pubmed)
Abstract：
UNASSIGNED: Chronic pain is a highly prevalent long-term condition, experienced unequally, impacting both the individual living with pain, and wider society. \'Acceptance\' of chronic pain is relevant to improved consultations in pain care, and navigating an approach towards evidence-based, long-term management and associated improvements in health. However, the concept proves difficult to measure, and primary qualitative studies of lived experiences show complexity related to our socio-cultural-political worlds, healthcare experiences, and difficulties with language and meaning. We framed acceptance of chronic pain as socially constructed and aimed to conceptualise the lived experiences of acceptance of chronic pain in adults.
UNASSIGNED: We conducted a systematic search and screening process, followed by qualitative, interpretive, literature synthesis using Meta-ethnography. We included qualitative studies using chronic pain as the primary condition, where the study included an aim to research the acceptance concept. We conducted each stage of the synthesis with co-researchers of differing disciplinary backgrounds, and with lived experiences of chronic pain.
UNASSIGNED: We included 10 qualitative studies from Canada, Sweden, The Netherlands, Ireland, UK, Australia and New Zealand. Our \'lines of argument\' include a fluid and continuous journey with fluctuating states of acceptance; language and meaning of acceptance and chronic pain, a challenge to identity in a capitalist, ableist society and the limits to individualism; a caring, supportive and coherent system. The conceptual framework of the meta-ethnography is represented by a rosebush with interconnected branches, holding both roses and thorns, such is the nature of accepting life with chronic pain.
UNASSIGNED: Our findings broaden conceptualisation of \'acceptance of chronic pain\' beyond an individual factor, to a fluid and continuous journey, interconnected with our socio-cultural-political worlds; an ecosystem.
UNASSIGNED: We conducted a systematic search and screening process, followed by qualitative, interpretive, literature synthesis using Meta-ethnography. We included qualitative studies using chronic pain as the primary condition, where the study included an aim to research the acceptance concept. We conducted each stage of the synthesis with co-researchers of differing disciplinary backgrounds, and with lived experiences of chronic pain.
UNASSIGNED: We included 10 qualitative studies from Canada, Sweden, The Netherlands, Ireland, UK, Australia and New Zealand. Our \'lines of argument\' include a fluid and continuous journey with fluctuating states of acceptance; language and meaning of acceptance and chronic pain, a challenge to identity in a capitalist, ableist society and the limits to individualism; a caring, supportive and coherent system. The conceptual framework of the meta-ethnography is represented by a rosebush with interconnected branches, holding both roses and thorns, such is the nature of accepting life with chronic pain.
UNASSIGNED: Our findings broaden conceptualisation of \'acceptance of chronic pain\' beyond an individual factor, to a fluid and continuous journey, interconnected with our socio-cultural-political worlds; an ecosystem.
摘要：
■慢性疼痛是一种非常普遍的长期疾病，经历不平等，影响着生活在痛苦中的个体，和更广泛的社会。“接受”慢性疼痛与改善疼痛护理咨询有关，并引导一种基于证据的方法，长期管理和相关的健康改善。然而,这个概念很难衡量，对生活经历的主要定性研究显示了与我们的社会文化政治世界相关的复杂性，医疗保健经验,语言和意义上的困难。我们将对慢性疼痛的接受定为社会建构，旨在概念化成人接受慢性疼痛的生活体验。
■我们进行了系统的搜索和筛选过程，其次是定性的，解释性的,使用元人种学进行文献综合。我们纳入了以慢性疼痛为主要疾病的定性研究，其中研究包括研究接受概念的目标。我们与不同学科背景的共同研究人员进行了综合的每个阶段，和慢性疼痛的生活经历。
■我们纳入了来自加拿大的10项定性研究，瑞典,荷兰,爱尔兰,英国,澳大利亚和新西兰。我们的“论点路线”包括接受状态波动的流畅而连续的旅程；接受和慢性疼痛的语言和含义，对资本家身份的挑战，有能力的社会和个人主义的局限性；关怀，支持和连贯的系统。元人种学的概念框架由具有互连分支的玫瑰丛表示，拿着玫瑰和荆棘，这就是接受慢性疼痛的生活的本质。
■我们的发现扩大了“接受慢性疼痛”的概念，超越了个体因素，流畅而连续的旅程，与我们的社会文化政治世界相互联系；一个生态系统。
■我们进行了系统的搜索和筛选过程，其次是定性的，解释性的,使用元人种学进行文献综合。我们纳入了以慢性疼痛为主要疾病的定性研究，其中研究包括研究接受概念的目标。我们与不同学科背景的共同研究人员进行了综合的每个阶段，和慢性疼痛的生活经历。
■我们纳入了来自加拿大的10项定性研究，瑞典,荷兰,爱尔兰,英国,澳大利亚和新西兰。我们的“论点路线”包括接受状态波动的流畅而连续的旅程；接受和慢性疼痛的语言和含义，对资本家身份的挑战，有能力的社会和个人主义的局限性；关怀，支持和连贯的系统。元人种学的概念框架由具有互连分支的玫瑰丛表示，拿着玫瑰和荆棘，这就是接受慢性疼痛的生活的本质。
■我们的发现扩大了“接受慢性疼痛”的概念，超越了个体因素，流畅而连续的旅程，与我们的社会文化政治世界相互联系；一个生态系统。
