Carr Eloise C J, McCaffrey Graham, Ortiz Mia Maris
University of Calgary, Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Can J Pain. 2017 Jul 6;1(1):14-21. doi: 10.1080/24740527.2017.1316173. eCollection 2017.
: Chronic pain affects one in five Canadians. People with chronic pain frequently experience loss in their lives related to work, relationships, and their independence. They may be referred to a chronic pain program, which aims to strengthen coping through medical intervention and self-management skills. Data suggest that, even when individuals begin their pain program, many feel overwhelmed and do not continue. : The aim of this study was to conduct a needs assessment to explore the acceptability and feasibility of developing a psychosocial intervention, narrative therapy (NT), to address loss for chronic pain patients on the wait list of a chronic pain program. : Two focus groups were conducted with ten patients who had experienced being on a wait list for a provincial chronic pain management program (CPMP). Transcribed interviews were subjected to thematic and interpretive analysis. : Two major themes emerged from the analysis: loss of identity and sharing a story of chronic pain. All patients were enthusiastic toward an NT intervention, although individual preferences differed regarding mode of delivery. : Loss is a significant part of the chronic pain experience. NT seems to be an acceptable intervention to address loss for patients on the wait list for a chronic pain program.
慢性疼痛影响着五分之一的加拿大人。患有慢性疼痛的人在生活中经常会在工作、人际关系和独立性方面有所缺失。他们可能会被转介到慢性疼痛项目，该项目旨在通过医学干预和自我管理技能来增强应对能力。数据表明，即使个体开始了他们的疼痛项目，许多人仍会感到不堪重负并无法坚持下去。
本研究的目的是进行一项需求评估，以探讨开发一种心理社会干预方法——叙事疗法（NT）——来解决慢性疼痛项目等待名单上的慢性疼痛患者的缺失问题的可接受性和可行性。
与十名曾在省级慢性疼痛管理项目（CPMP）等待名单上的患者进行了两个焦点小组访谈。对转录的访谈进行了主题和解释性分析。
身份丧失和分享慢性疼痛的故事。所有患者对叙事疗法干预都很感兴趣，尽管在交付方式上个人偏好有所不同。
丧失是慢性疼痛经历的一个重要部分。叙事疗法似乎是一种可接受的干预方法，用于解决慢性疼痛项目等待名单上患者的丧失问题。
