Pietilä Holmner Elisabeth, Stålnacke Britt-Marie, Enthoven Paul, Stenberg Gunilla
Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, 90185 Umeå, Sweden.
J Rehabil Med. 2018 Jan 10;50(1):73-79. doi: 10.2340/16501977-2286.
To explore patient experiences of participating in multimodal pain rehabilitation in primary care.
Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation.
The interviews were analysed using qualitative content analysis.
Analysis resulted in 4 categories: (i) from discredited towards obtaining redress; (ii) from uncertainty towards knowledge; (iii) from loneliness towards togetherness; and (iv) "acceptance of pain": an ongoing process. The results show that having obtained redress, to obtain knowledge about chronic pain, and to experience fellowship with others with the same condition were helpful in the acceptance process. However, there were patients who found it difficult to reconcile themselves with a life with chronic pain after multimodal rehabilitation. To find what was "wrong" and to have a medical diagnosis and cure were important.
Patients in primary care multimodal rehabilitation experience a complex, ongoing process of accepting chronic pain. Four important categories were described. These findings will help others to understand the experience and perspective of patients with chronic pain who engage in multimodal rehabilitation.
探讨患者在初级保健中参与多模式疼痛康复的体验。
对12名曾在初级保健中接受多模式康复治疗的患者（7名女性和5名男性）进行访谈，了解他们对多模式康复的体验。
采用定性内容分析法对访谈进行分析。
分析得出4个类别：（i）从被质疑到获得补偿；（ii）从不确定到获得知识；（iii）从孤独到团聚；（iv）“接受疼痛”：一个持续的过程。结果表明，获得补偿、了解慢性疼痛知识以及与其他患有相同疾病的人建立友谊，有助于接受疼痛的过程。然而，有些患者在接受多模式康复治疗后，难以接受慢性疼痛的生活。找出“问题所在”并获得医学诊断和治愈方法很重要。
初级保健多模式康复中的患者经历了一个复杂的、持续的接受慢性疼痛的过程。描述了4个重要类别。这些发现将有助于其他人理解参与多模式康复的慢性疼痛患者的体验和观点。
