Spinord Linda, Kassberg Ann-Charlotte, Stålnacke Britt-Marie, Stenberg Gunilla
Department of Community Medicine, Umeå University, Umeå, Sweden.
Department of Development and Research, Region Norrbotten, Luleå, Sweden.
Can J Pain. 2020 Oct 5;4(1):237-246. doi: 10.1080/24740527.2020.1810001.
Patients with chronic pain who live in rural areas often need to travel long distances to participate in multimodal rehabilitation programs. To reduce traveling during the programs, patients sometimes live at a residency close to the clinic and thus far from home.
The aim of this study was to explore how patients with chronic pain experience participation in an multimodal rehabilitation program while living at a residency.
Twelve patients from two specialist clinics in northern Sweden were interviewed about their experiences of participating in a multimodal rehabilitation program. The data were analyzed qualitatively using a grounded theory method with an emergent design.
The analyses resulted in a model with the core category "finding my self-worth" consisting of four categories: "space for myself," "mirroring myself," "I am of value," and "dealing with returning to everyday life." The model illustrates the process whereby participants are given space for themselves and an opportunity to mirror themselves in interaction with other participants. That provided insight about their self-worth that was valuable for return to everyday life at home and work.
Living at a residency during multimodal rehabilitation provided added value when patients were relived from the obligations of everyday life at home and given time for reflection and interaction with others in similar situations. This contributed to awareness of their own value and the necessity of taking care of themselves. This new insight led to increased motivation to act differently at home.
居住在农村地区的慢性疼痛患者往往需要长途跋涉去参加多模式康复项目。为了减少项目期间的行程，患者有时会住在靠近诊所的住所，从而离家很远。
本研究的目的是探讨慢性疼痛患者在住在住所期间参与多模式康复项目的体验。
对瑞典北部两家专科诊所的12名患者进行了访谈，了解他们参与多模式康复项目的经历。采用扎根理论方法和应急设计对数据进行定性分析。
分析得出一个核心类别为“找到自我价值”的模型，该模型由四个类别组成：“属于自己的空间”“审视自己”“我有价值”以及“应对回归日常生活”。该模型说明了参与者如何获得属于自己的空间以及在与其他参与者互动中审视自己的过程。这为他们提供了有关自我价值的见解，对回归家庭和工作中的日常生活很有价值。
在多模式康复期间住在住所，当患者从家庭日常生活的义务中解脱出来，并有时间进行反思以及与处于类似情况的其他人互动时，会带来额外的价值。这有助于他们意识到自己的价值以及照顾自己的必要性。这种新的见解促使他们更有动力在家中做出不同的行为。
