Larsson Britt, Gard Gunvor, Karlsson Linn, Persson Ann L
a Department of Medicine and Health , Linköping University , Linköping , Sweden ;
b Pain and Rehabilitation Centre , University Hospital , Linköping , Sweden ;
Disabil Rehabil. 2016 Oct;38(21):2135-43. doi: 10.3109/09638288.2015.1114154. Epub 2016 Jan 10.
To describe what patients with chronic pain expect from a multimodal pain rehabilitation programme.
Qualitative interviews were used to uncover expectations about a multimodal rehabilitation programme offered at the Pain and Rehabilitations Centre, The University Hospital; Linköping, Sweden. Sixteen women and two men (mean age 37 years; standard deviation 10 years) with chronic benign pain participated. The interviews were analysed using qualitative content analyses.
To participate actively in the multimodal pain rehabilitation programme and to learn adequate coping strategies to improve daily life emerged as a main category. It was based on the following four categories comprising expectations about: participating actively in the programme, interacting with the professionals and fellow patients, cognitive effects of the programme and tools for coping, and explicit effects from the programme.
Many patients expressed expectations which may reflect that the information before the programme had started rehabilitation process at the time point for this study. The results could be applied in rehabilitation programmes by acknowledging expectations to interact with professional team members and fellow patients, by early addressing of positive and negative expectations about the future pain and by incorporating and strengthen expectations of learning to cope with pain. Implications for Rehabilitation Patients' expectations to interact with professional team members and fellow patients by participating actively in the pain rehabilitation programme should be acknowledged in each rehabilitation situation. Patients expressed both positive and negative expectations about their future pain situation and these expectations should be addressed as early as possible in the rehabilitation screening process. Patients' expectations of learning to cope with pain should be incorporated and strengthened in multimodal pain rehabilitation programmes.
描述慢性疼痛患者对多模式疼痛康复计划的期望。
采用定性访谈来揭示瑞典林雪平大学医院疼痛与康复中心提供的多模式康复计划的期望。16名女性和2名男性（平均年龄37岁；标准差10岁）患有慢性良性疼痛参与了研究。采用定性内容分析法对访谈进行分析。
积极参与多模式疼痛康复计划并学习适当的应对策略以改善日常生活成为一个主要类别。它基于以下四个类别，包括对以下方面的期望：积极参与计划、与专业人员和其他患者互动、计划的认知效果和应对工具以及计划的明确效果。
许多患者表达的期望可能反映出在本研究时间点计划开始康复过程之前的信息。通过承认与专业团队成员和其他患者互动的期望、尽早处理对未来疼痛的积极和消极期望以及纳入并强化学习应对疼痛的期望，这些结果可应用于康复计划。对康复的启示 在每种康复情况下，都应承认患者通过积极参与疼痛康复计划与专业团队成员和其他患者互动的期望。患者对其未来疼痛状况表达了积极和消极的期望，这些期望应在康复筛查过程中尽早得到处理。患者学习应对疼痛的期望应纳入并强化到多模式疼痛康复计划中。
