腰背痛是全球残疾和病假的主要原因。这种类型的疼痛具有波动和反复的性质,影响一个人生活的方方面面,具有深远的社会心理后果。
■这项研究旨在探索随着时间和各种背景下腰痛患者的日常生活。
■具有该概念的纵向扎根理论研究,日常生活的行为,作为理论框架。
■这项研究是在丹麦进行的,参与者来自医院背景下的区域脊柱中心。
■对27名患有腰背痛的患者进行采样,这些患者被转诊至医院进行椎间盘突出症的评估和治疗。参与者在37-71岁的女性和男性之间平均分配。
■对参与者进行6-18个月的访谈和观察。他们至少接受了两次采访,在学习期间的开始和结束。采访是在参与者的家中进行的。数据包括转录访谈和实地笔记。
■两个主题,\"当\'支持\'系统成为破坏者\"和\"适应新生活\",描述参与者通过一段时间的腰痛和之后的时间进行日常生活的重要元素。第一个主题解释了在腰痛期间,医疗保健和疾病福利系统如何在个人生活中发挥生存作用。这些系统广泛,经常相互矛盾,对参与者的要求,挑战他们的日常生活。系统及其多样化的需求可能优先于其他问题,挑战参与者的社会自我理解。在第二个主题中,我们确定了三种典型的参与者如何适应随着时间的推移潜在的下腰痛恶化的生活模式:1)辞职,2)平衡和3)忽略。
■从参与者的角度来看,医疗保健和疾病福利系统是支持性的,但是由于广泛和相互矛盾的需求,它们经常扰乱日常生活。腰痛患者必须不断适应日常生活。因此,专业人员应支持一种平衡的模式,以适应复发性和波动性下腰痛的生活。
UNASSIGNED: Low back pain is a leading cause of disability and sick days worldwide. This type of pain has a fluctuating and recurrent nature, and affects all aspects of a person\'s life, with profound psychosocial consequences.
UNASSIGNED: This study aims to explore the everyday life of individuals with low back pain over time and across various contexts.
UNASSIGNED: A longitudinal Grounded Theory study with the concept, conduct of everyday life, as the theoretical framework.
UNASSIGNED: The study was conducted in Denmark, and participants were sampled from a regional spine centre in a hospital context.
UNASSIGNED: Twenty-seven individuals with low back pain referred to a hospital for assessment and treatment for herniated discs were sampled. Participants were divided equally between women and men 37-71 years old.
UNASSIGNED: Participants were followed through interviews and participant observation for 6-18 months. They were interviewed at least twice, at the beginning and end of the study period. The interviews took place in participants\' homes. Data consisted of transcribed interviews and field notes.
UNASSIGNED: Two themes, \"When \'support\' systems become disrupters\" and \"Adapting to a new life\", describe important elements of the participants\' conduct of everyday life through a period of low back pain and the time after. The first theme explains how healthcare and sickness benefit systems play an existential role in the individual\'s life during a period of low back pain. These systems made extensive, often conflicting, demands on participants, which challenged their everyday lives. The systems and their diverse needs could take precedence over other concerns, challenging participants\' social self-understanding. In the second theme, we identified three typical patterns of how participants adapt to living with a potential exacerbation of low back pain over time: 1) Resignation, 2) Balancing and 3) Ignoring.
UNASSIGNED: From the participants\' perspectives, healthcare and sickness benefits systems are supportive, but they often disrupt everyday life due to extensive and conflicting demands. Individuals with low back pain must continually adapt to everyday life. Therefore, professionals should support a balanced pattern of adapting to life with recurrent and fluctuating low back pain.