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面对症状和限制:腕管综合征女性的定性研究。

Facing symptoms and limitations: A qualitative study of women with carpal tunnel syndrome.

机构信息

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine and Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Universidad Rey Juan Carlos, Madrid, Spain.

Department of Psychology, Universidad Rey Juan Carlos, Madrid, Spain.

出版信息

Scand J Occup Ther. 2023 Jul;30(5):650-660. doi: 10.1080/11038128.2022.2112970. Epub 2022 Aug 22.

Abstract

BACKGROUND

Carpal tunnel syndrome (CTS) is a neuropathic pain condition characterised by pain, paresthesia, loss of strength and disability.

OBJECTIVE

To explore the experiences of women with CTS regarding the management of symptoms and limitations.

METHODS

A qualitative phenomenological study was conducted. Women with a clinical and electromyographic diagnosis of CTS recruited from the Neurology Department of a Public Hospital were included. Purposeful sampling was performed. Data were collected using in-depth interviews and researchers' field notes. Analysis proposed by Giorgi was used.

RESULTS

A total of 18 women with CTS were included. Two themes emerged: a) Living with CTS symptoms and limitations: describing the symptoms experienced, triggers of their symptoms and how they define CTS. Also, describing the difficulties that they experience on a daily basis, at home when handling tools, communicating, driving, and at work; and b) developing daily strategies for managing limitations: developing potential daily strategies to overcome daily limitations and/or compensate for them, and seeking professional help.

CONCLUSIONS AND SIGNIFICANCE

Current results provide insight on how symptoms and daily limitations are experienced by a group of women with CTS. These findings could help occupational therapists to understand the day-to-day difficulties and the reasons for developing certain strategies.

摘要

背景

腕管综合征(CTS)是一种神经病理性疼痛疾病,其特征为疼痛、感觉异常、力量丧失和残疾。

目的

探讨女性 CTS 患者在症状和限制管理方面的体验。

方法

进行了一项定性现象学研究。从一家公立医院的神经病学系招募了具有 CTS 临床和肌电图诊断的女性。采用目的抽样法。使用深入访谈和研究人员的现场记录收集数据。使用 Giorgi 提出的分析方法进行分析。

结果

共纳入 18 名 CTS 女性。出现了两个主题:a)患有 CTS 症状和限制:描述了所经历的症状、症状的触发因素以及他们如何定义 CTS。还描述了她们在日常生活中在家中处理工具、交流、驾驶和工作时遇到的困难;b)制定日常管理限制的策略:制定潜在的日常策略来克服日常限制和/或补偿它们,并寻求专业帮助。

结论和意义

目前的结果提供了对一组 CTS 女性经历症状和日常限制的深入了解。这些发现可以帮助职业治疗师了解日常困难和制定某些策略的原因。

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