Ernstzen Dawn, Louw Quinette, Hillier Susan
Division Physiotherapy, Stellenbosch University, South Africa.
International Centre for Allied Health Evidence, School of Health Sciences, University of South Australia, Australia.
Afr J Disabil. 2016 May 18;5(1):216. doi: 10.4102/ajod.v5i1.216. eCollection 2016.
Consideration of the patient's perspective in healthcare is important because it may inform holistic and contextually relevant management strategies.
The purpose of this study was to explore patients' experiences and perspectives about their chronic musculoskeletal (CMSK) pain and its management in the private healthcare sector in South Africa. This work was done as a pilot study to test, adapt and finalize an interview schedule.
A descriptive, qualitative study was conducted. The sampling was purposive. Three patients with CMSK pain were recruited to participate in in-depth individual interviews. The interviews were recorded and transcribed ensuring confidentiality. Inductive, thematic content analyses of the transcripts were undertaken. Initial codes were assigned and a code book developed, which was applied to the transcripts to develop categories and themes.
Four themes emerged from the data: (1) the participants sought understanding about the pain's origin and the reason for pain persistence; (2) pain impacted their lives in multiple ways; (3) the participants depended on healthcare providers (HCP) for guidance and support; and (4) they had the option of acceptance of chronic pain.
The participants' knowledge about their health condition had important implications as it influenced their perspectives on pain and its management. The pain presented the participants with several challenges, which included developing an understanding about pain and coping with the impact of pain in their lives. HCPs were perceived to play an important role in empowering or disempowering the participants.
在医疗保健中考虑患者的观点很重要，因为这可能为全面且符合具体情况的管理策略提供依据。
本研究的目的是探索南非私立医疗保健部门中患者对其慢性肌肉骨骼疼痛（CMSK）及其管理的经历和观点。这项工作作为一项试点研究，旨在测试、调整并最终确定一份访谈提纲。
开展了一项描述性的定性研究。采用目的抽样法。招募了三名患有慢性肌肉骨骼疼痛的患者参与深入的个人访谈。访谈进行了录音和转录，确保保密性。对转录文本进行归纳性的主题内容分析。分配了初始编码并制定了编码手册，将其应用于转录文本以形成类别和主题。
数据中出现了四个主题：（1）参与者寻求对疼痛起源和持续存在原因的理解；（2）疼痛在多个方面影响了他们的生活；（3）参与者依赖医疗服务提供者（HCP）提供指导和支持；（4）他们可以选择接受慢性疼痛。
参与者对自身健康状况的了解具有重要意义，因为它影响了他们对疼痛及其管理的看法。疼痛给参与者带来了诸多挑战，其中包括理解疼痛以及应对疼痛对其生活的影响。医疗服务提供者被认为在增强或削弱参与者的能力方面发挥着重要作用。
