Department of Rehabilitation, School of Health Sciences, Jönköping University, Sweden.
Disabil Rehabil. 2012;34(15):1245-53. doi: 10.3109/09638288.2011.638034. Epub 2011 Dec 23.
The aim of this study was to describe experiences of pain and its relationship to daily activities in people with rheumatoid arthritis (RA).
Seven semi-structured focus group discussions were conducted with 33 men and women of different ages with RA. Data were analysed with content analysis.
Pain affected everyday life and may be a barrier to perform valued activities. Regarding the impact of pain on participation and independence, personal factors and the social environment were found to be important. It could be a struggle to find the right activity balance, since it was easy to be overactive, triggering subsequent elevation of pain levels. However, the participants also described activities as a mediator of pain and a distraction from it.
The relationship between pain and daily activities in RA was complex. Pain as an impairment was expressed to be related to activity limitations and participation restrictions, as well as to contextual factors. These findings highlight the clinical importance of paying attention to the complexity of pain and its relation to daily activities and participation.
本研究旨在描述类风湿关节炎（RA）患者的疼痛体验及其与日常活动的关系。
对 33 名不同年龄的男性和女性 RA 患者进行了 7 次半结构化焦点小组讨论。采用内容分析法对数据进行分析。
疼痛影响日常生活，可能成为进行有价值活动的障碍。在探讨疼痛对参与和独立性的影响时，发现个人因素和社会环境很重要。要找到合适的活动平衡可能很困难，因为过度活动很容易引发疼痛加剧。然而，参与者也描述了活动是疼痛的调节剂和分散注意力的方式。
RA 患者的疼痛与日常活动之间的关系很复杂。疼痛作为一种障碍，与活动受限和参与受限以及环境因素有关。这些发现突出了关注疼痛的复杂性及其与日常活动和参与的关系的临床重要性。
