Igwesi-Chidobe Chinonso N, Kitchen Sheila, Sorinola Isaac O, Godfrey Emma L
a Department of Physiotherapy, Division of Health and Social Care Research, Faculty of Life Sciences and Medicine , King's College, London , UK.
b Department of Medical Rehabilitation, Faculty of Health Sciences and Technology , College of Medicine, University of Nigeria (Enugu Campus) , Nsukka , Nigeria.
Disabil Rehabil. 2017 Apr;39(8):779-790. doi: 10.3109/09638288.2016.1161844. Epub 2016 Apr 25.
This study explored the experiences of people living with non-specific chronic low back pain (CLBP) in a rural Nigerian community.
Qualitative in-depth semi-structured face-to-face interviews were conducted with purposively sampled participants until data saturation. Questions explored back pain beliefs, coping/management strategies and daily activities. Thematic analysis of transcripts was performed using the Framework approach.
Themes showed that back pain beliefs were related to manual labour/deprivation, infection/degeneration, spiritual/cultural beliefs and rural-urban divide. These beliefs impacted on gender roles resulting in adaptive or maladaptive coping. Adaptive coping was facilitated by positive beliefs, such as not regarding CLBP as an illness, whereas viewing CLBP as illness stimulated maladaptive coping strategies. Spirituality was associated with both adaptive and maladaptive coping. Maladaptive coping strategies led to dissatisfaction with health care in this community.
CLBP-related disability in rural Nigeria is strongly influenced by beliefs that facilitate coping strategies that either enhance or inhibit recovery. Interventions should therefore target maladaptive beliefs while emphasizing behavioural modification. Implications for Rehabilitation Non-specific chronic low back pain (CLBP) is highly prevalent and responsible for much pain and disability in rural Nigeria. No qualitative study has investigated the experiences of people living with CLBP in rural Nigeria or any other rural African context. Qualitative study of peoples' experiences of living with CLBP in rural Nigeria has the potential of exposing complex socio-cultural and psychological factors associated with CLBP which has potential implications for designing effective interventions. The results of this study may inform the development of complex interventions for reducing the disability associated with CLBP in rural Nigeria and other rural African contexts.
本研究探讨了尼日利亚农村社区非特异性慢性下腰痛（CLBP）患者的经历。
对有目的地抽样的参与者进行定性深入半结构化面对面访谈，直至数据饱和。问题涉及背痛信念、应对/管理策略和日常活动。使用框架方法对访谈记录进行主题分析。
主题表明，背痛信念与体力劳动/贫困、感染/退化、精神/文化信仰以及城乡差距有关。这些信念影响了性别角色，导致适应性或适应不良的应对方式。积极的信念促进了适应性应对，例如不将CLBP视为疾病，而将CLBP视为疾病则激发了适应不良的应对策略。精神性与适应性和适应不良的应对都有关联。适应不良的应对策略导致该社区对医疗保健不满。
尼日利亚农村地区与CLBP相关的残疾受到信念的强烈影响，这些信念促进了增强或抑制康复的应对策略。因此，干预措施应针对适应不良的信念，同时强调行为改变。康复意义 非特异性慢性下腰痛（CLBP）非常普遍，在尼日利亚农村地区造成了大量疼痛和残疾。尚无定性研究调查过尼日利亚农村地区或任何其他非洲农村地区CLBP患者的经历。对尼日利亚农村地区CLBP患者经历的定性研究有可能揭示与CLBP相关的复杂社会文化和心理因素，这对设计有效的干预措施具有潜在意义。本研究结果可能为制定复杂干预措施提供参考，以减少尼日利亚农村地区及其他非洲农村地区与CLBP相关的残疾。
