Bognor War Memorial Hospital, Sussex Community NHS Foundation Trust, Bognor Regis, UK.
School of Sport and Health Sciences, Brighton University, Eastbourne, UK.
Physiother Theory Pract. 2023 May;39(5):979-993. doi: 10.1080/09593985.2022.2032512. Epub 2022 Feb 14.
Frozen Shoulder (FS) is a painful debilitating condition that is a significant burden to those experiencing it and healthcare systems. Despite research investigating the pathogenesis and effective treatment for the condition, there is a paucity of research exploring how having frozen shoulder is lived through and meaningful to persons experiencing it.
To explore how living with Frozen Shoulder is experienced and meaningful.
A qualitative research study design using hermeneutic phenomenology methodology was used. In-depth unstructured interviews were conducted with six purposively recruited participants. Interpretive Phenomenological methods were used to analyze the data forming emergent, superordinate and master themes to qualitatively expose the meaningful aspects of living through FS.
Five Master themes were identified: 1) "Dropping me to my knees," an incredible pain experience; 2) The struggle for normality; 3) An emotional change of self; 4) The challenges of the healthcare journey; and 5) Coping and adapting. The overarching 'binding theme' was
This study illuminated the struggle to maintain a normal life while living with the significant pain, physical restriction, sleep loss and disability experienced by persons with Frozen Shoulder. Attempts to cope and adapt were impeded by the challenges of the healthcare journey. The uncertainty of these experiences was conveyed as being in "no man's land" an expression that reflected the existential crisis and impact on persons' sense of self.
冻结肩(FS)是一种痛苦且使人丧失能力的疾病,给经历过这种疾病的人和医疗保健系统带来了巨大的负担。尽管有研究调查了这种疾病的发病机制和有效治疗方法,但对于经历过冻结肩的人来说,探索这种疾病是如何存在的以及对他们有何意义的研究却很少。
探索患有冻结肩的人的生活体验和意义。
采用定性研究设计,使用解释现象学方法。对六名有目的地招募的参与者进行了深入的非结构化访谈。使用解释现象学方法分析数据,形成新兴的、高级别的和主要的主题,从定性上揭示经历 FS 的有意义的方面。
确定了五个主要主题:1)“让我下跪”,一种难以置信的疼痛体验;2)为正常生活而奋斗;3)自我情感的变化;4)医疗保健之旅的挑战;5)应对和适应。总体的“绑定主题”是:
本研究阐明了在经历冻结肩时,人们在保持正常生活的同时,应对巨大的疼痛、身体限制、睡眠不足和残疾的挣扎。应对和适应的尝试受到医疗保健之旅的挑战的阻碍。这些经历的不确定性被表达为处于“无人之地”,这反映了存在主义危机和对个人自我意识的影响。