Furnes Bodil, Natvig Gerd Karin, Dysvik Elin
Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway ; Department of Global Public Health and Primary Care, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Patient Prefer Adherence. 2014 Aug 16;8:1085-92. doi: 10.2147/PPA.S68046. eCollection 2014.
Chronic pain is a complex, multifaceted subjective experience that involves the whole person. Self-management is the dynamic and continuous process of adapting one's situation to the cognitive, behavioral, and emotional responses necessary to maintain a satisfactory quality of life. Approaches based on cognitive behavioral therapy (CBT) are described as appropriate in assisting people suffering from chronic pain because they challenge maladaptive beliefs and behaviors in relation to pain. This study aimed to explore patients' experiences of therapeutic elements from group participation in a chronic pain management program.
A qualitative research design with a phenomenological hermeneutic approach was used. Six months after participation in the 8-week course, 34 participants formulated and submitted written reports based on open-ended questions related to their group participation and self-help achievement. These reports were analyzed by elements of qualitative content analysis.
THE ANALYSIS RESULTED IN TWO SUBTHEMES: "The significance of active involvement in gaining new insight" and "The significance of community and group support." These were abstracted in the main theme: "Successful self-management is related to several significant contributions in the group."
An active role with writing, self-revelation, and exchanges of thoughts and feelings in the group seemed to be the key tools for success. In addition, group support and access to other group members' experiences were significant therapeutic elements. We suggest that successful self-management requires knowledge of essential therapeutic elements. In a CBT-based group approach, such elements may offer an important health care contribution.
慢性疼痛是一种复杂、多方面的主观体验，涉及整个人。自我管理是一个动态且持续的过程，即让个人状况适应维持满意生活质量所需的认知、行为和情绪反应。基于认知行为疗法（CBT）的方法被认为适合帮助慢性疼痛患者，因为它们能挑战与疼痛相关的适应不良信念和行为。本研究旨在探索患者参与慢性疼痛管理项目小组治疗要素的体验。
采用现象学诠释学方法的定性研究设计。在参加为期8周的课程6个月后，34名参与者根据与小组参与和自助成就相关的开放式问题撰写并提交了书面报告。这些报告通过定性内容分析要素进行分析。
分析得出两个子主题：“积极参与以获得新见解的重要性”和“社区与小组支持的重要性”。这些被提炼为一个主题：“成功的自我管理与小组中的若干重要贡献相关”。
在小组中积极参与写作、自我表露以及思想和情感交流似乎是成功的关键工具。此外，小组支持以及接触其他小组成员的经验是重要的治疗要素。我们认为成功的自我管理需要了解基本的治疗要素。在基于CBT的小组方法中，这些要素可能对医疗保健做出重要贡献。
