Samulowitz Anke, Nordstrom Pia, Wiklund Malin, Stankovic Nenad, Hensing Gunnel
Epidemiology and Social Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, SE-405 30 Goteborg, Sweden.
Centre for Equity in Health Care, Region Vastra Gotaland, Regionens Hus, SE-405 44 Goteborg, Sweden.
J Rehabil Med Clin Commun. 2019 Apr 24;2:1000014. doi: 10.2340/20030711-1000014. eCollection 2019.
Long-lasting pain is a challenge for pa-tients' everyday lives. The aim of this study was to examine how women and men who have participa-ted in multimodal pain rehabilitation experience its impact in their everyday lives.
Individual semi-structured interviews with 5 women and 3 men who had parti-cipated in multimodal pain rehabilitation at a clinic in Sweden, analysed using qualitative content ana-lysis.
Participants perceived that their "sense of control" increased, which had a positive impact in their everyday life. Sense of control consisted of 3 categories: importance of the patient-provider re-lationship, knowledge gained (especially on body functions and medication), and pain in a social con-text. Three results were discussed in particular: () a trustful patient-provider relationship based on confidence in the provider's expertise was a pre-requisite for pain acceptance; () patients were aware of gender norms in healthcare; () social support was not stressed as important to cope with pain.
The importance of patients' confidence in the provider's expertise and patients' awareness about gender norms need consideration in terms of the patient-provider encounter. The value of social support for pain rehabilitation was found to be less important compared with previous research; this should be explored further.
长期疼痛对患者的日常生活是一项挑战。本研究的目的是考察参与多模式疼痛康复的女性和男性如何体验其对他们日常生活的影响。
对在瑞典一家诊所参与多模式疼痛康复的5名女性和3名男性进行个体半结构式访谈，采用定性内容分析法进行分析。
参与者认为他们的“控制感”增强，这对他们的日常生活产生了积极影响。控制感包括3个类别：医患关系的重要性、获得的知识（尤其是关于身体功能和药物方面的知识）以及社交背景下的疼痛。特别讨论了3个结果：（1）基于对提供者专业知识的信任而建立的医患信任关系是疼痛接纳的前提条件；（2）患者意识到医疗保健中的性别规范；（3）社会支持在应对疼痛方面未被强调为重要因素。
在医患互动方面，需要考虑患者对提供者专业知识的信任以及患者对性别规范的认识的重要性。与先前研究相比，发现社会支持对疼痛康复的价值不那么重要；对此应进一步探讨。
