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慢性广泛性疼痛患者在日常生活中对时间的体验与掌控:一项定性研究

Experiencing and controlling time in everyday life with chronic widespread pain: a qualitative study.

作者信息

Richardson Jane C, Ong Bie Nio, Sim Julius

机构信息

Primary Care Musculoskeletal Research Centre, Keele University, Keele, Staffs, UK.

出版信息

BMC Musculoskelet Disord. 2008 Jan 11;9:3. doi: 10.1186/1471-2474-9-3.

Abstract

BACKGROUND

Chronic widespread pain (CWP) affects 10% of adults and often causes significant disability in everyday life. Research on time in chronic conditions has focused on biographical disruption and perceptions of past and future. However, more mundane aspects of time are also disrupted in a condition such as CWP, which is uncertain on a minute-to-minute, day-to-day basis, as well as in the longer term. The results presented here are part of a wider study, the aim of which was to explore how people with CWP experience and give meaning to their 'condition'. This article focuses on how mundane, repetitive and taken-for-granted aspects of everyday life are disrupted for people with CWP.

METHODS

Eight people aged 40-60 years living with CWP took part in multiple in-depth interviews, diaries and family interviews, exploring the meanings and interpretations of participants and individuals' experiences in a social context.

RESULTS

The findings illuminate the ways in which the experience of time is changed by CWP: carrying out the tasks of everyday life takes longer, routines are disrupted, and changes are needed in how time is managed. Some strategies for managing these tasks rely on ability to control one's time. However, this is not always possible and, for some, the experience of CWP becomes characterised by lack of such control.

CONCLUSION

This study explored the concept of controllable time in the experience of CWP. Regaining control over time is an important element in coping with chronic pain, and helping patients to regain such control has potential as a target for health professionals involved in pain management.

摘要

背景

慢性广泛性疼痛(CWP)影响着10%的成年人,常常在日常生活中导致严重的功能障碍。对慢性病病程的研究聚焦于人生经历的中断以及对过去和未来的认知。然而,在CWP这种病症中,时间更为平常的方面也受到了干扰,无论是在每分钟、每天,还是在更长期内,情况都不确定。此处呈现的结果是一项更广泛研究的一部分,该研究的目的是探究患有CWP的人如何体验其“病情”并赋予其意义。本文重点关注日常生活中平常、重复且被视为理所当然的方面是如何被患有CWP的人打乱的。

方法

8名年龄在40至60岁之间的CWP患者参与了多次深度访谈、写日记以及家庭访谈,探讨了参与者在社会背景下的经历的意义和解读。

结果

研究结果揭示了CWP改变时间体验的方式:完成日常生活任务所需时间更长,日常惯例被打乱,并且在时间管理方式上需要做出改变。一些管理这些任务的策略依赖于控制自己时间的能力。然而,这并非总是可行的,对一些人来说,CWP的体验变得以缺乏这种控制为特征。

结论

本研究探讨了CWP体验中可控时间的概念。重新获得对时间的控制是应对慢性疼痛的一个重要因素,帮助患者重新获得这种控制作为参与疼痛管理的健康专业人员的一个目标具有潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56d2/2248579/ec6eb89a53cb/1471-2474-9-3-1.jpg

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