Tul Yvonne, Unruh Anita, Dick Bruce D
School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.
Scand J Caring Sci. 2011 Sep;25(3):435-43. doi: 10.1111/j.1471-6712.2010.00842.x. Epub 2010 Nov 8.
To explore patients' perceptions of their pain while participating in a weekly yoga program.
A consecutive convenience sample was recruited from a Multidisciplinary Pain Centre. Seven adult patients (six women), agreed to participate in an 8-week Hatha yoga program, including weekly group sessions and at-home practice. Data were gathered from participant observation and in-depth interviews. Interviews explored the experience of practicing yoga and its relationship to the participant's pain experience. An inductive analysis of the interviews explored emergent themes from participants' descriptions of their experience.
Analyses identified three themes: renewed awareness of the body; transformed relationship with the body in pain; and acceptance.
Participants' data suggested that they reframed what it meant to live with chronic pain. Some participants reported that the sensory aspects of pain did not change but that pain became less bothersome. They were better able to control the degree to which pain interfered with their daily life. Other participants reported less frequent or less intense pain episodes because they could recognize body signals and adjust themselves to alleviate painful sensations. The findings suggest that patients who benefit from yoga may do so in part because yoga enables changes in cognitions and behaviours towards pain.
探讨患者在参加每周一次的瑜伽课程时对自身疼痛的感知。
从一个多学科疼痛中心招募了一个连续便利样本。七名成年患者（六名女性）同意参加为期8周的哈他瑜伽课程，包括每周的小组课程和在家练习。数据通过参与观察和深入访谈收集。访谈探讨了练习瑜伽的体验及其与参与者疼痛体验的关系。对访谈进行归纳分析，从参与者对自身经历的描述中探索新出现的主题。
分析确定了三个主题：对身体的重新认识；与疼痛身体的关系转变；以及接纳。
参与者的数据表明，他们重新构建了与慢性疼痛共处的意义。一些参与者报告说，疼痛的感觉方面没有改变，但疼痛变得不那么困扰人了。他们能够更好地控制疼痛对日常生活的干扰程度。其他参与者报告疼痛发作的频率降低或强度减轻，因为他们能够识别身体信号并自我调整以减轻疼痛感觉。研究结果表明，从瑜伽中受益的患者可能部分原因是瑜伽能够改变对疼痛的认知和行为。
