Centre for Postgraduate Nursing, University of Otago, Christchurch, PO Box 4345, Christchurch, New Zealand.
Int J Nurs Stud. 2010 May;47(5):586-92. doi: 10.1016/j.ijnurstu.2009.09.012. Epub 2009 Oct 24.
The aim was to investigate peoples' experiences of the impact of chronic low back pain.
Chronic low back pain is a complex disorder with wide-ranging adverse consequences that can impact on people's lifestyles and self-image. It is also a condition that can sometimes be treated with some scepticism by health care providers and other people in the person's life. It has been suggested that further research into the subjective experience of chronic blow back pain is needed to develop a better understanding of its impact.
This study is a qualitative analysis of semi-structured interviews with 64 participants identified as having chronic low back pain who were interviewed about the impact of the condition on their lives. The data were analysed using a method of inductive thematic analysis.
Four main themes were identified: the unpredictability of the pain, the need for vigilance, the externalization/objectification of the body and the alteration to sense of self.
Nurses have an important role to play in working with patients experiencing chronic low back pain to identify any patterns associated with exacerbations of the condition, validating their experiences of chronic low back pain and facilitating the accommodation of chronic low back pain into a more satisfying sense of self.
本研究旨在探讨人们对慢性下背痛影响的体验。
慢性下背痛是一种复杂的疾病,其不良后果广泛,可能影响人们的生活方式和自我形象。此外,这种疾病有时会受到医疗保健提供者和患者生活中其他人的怀疑。有人认为,需要进一步研究慢性下背痛的主观体验,以更好地了解其影响。
本研究对 64 名被确定为患有慢性下背痛的参与者进行了半结构式访谈的定性分析,这些参与者被问及该疾病对他们生活的影响。使用归纳主题分析方法对数据进行分析。
确定了四个主要主题:疼痛的不可预测性、警惕的必要性、身体的外化/客观化以及自我感觉的改变。
护士在与患有慢性下背痛的患者合作中发挥着重要作用,以识别与病情恶化相关的任何模式,验证他们的慢性下背痛体验,并促进慢性下背痛融入更令人满意的自我意识。