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“这成为了新的日常生活”——肢带型肌营养不良患者日常生活中的慢性疼痛体验。

'It becomes the new everyday life' - experiences of chronic pain in everyday life of people with limb-girdle muscular dystrophy.

机构信息

Department of Public Health, Faculty of Health, Aarhus University, Aarhus, Denmark.

National Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.

出版信息

Disabil Rehabil. 2023 Nov;45(23):3875-3882. doi: 10.1080/09638288.2022.2142679. Epub 2022 Nov 7.

Abstract

PURPOSE

To investigate experiences and reflections on challenges in everyday life of people living with limb-girdle muscular dystrophy (LGMD) and chronic pain in order to improve rehabilitation services.

MATERIALS AND METHODS

The design for this study was qualitative using the Interpretive Description methodology and the salutogenic theory of Sense of Coherence as the theoretical framework. Four semi-structured focus group interviews were conducted with 19 adults with LGMD from April to May 2021. The interviews were conducted online due to COVID-19.

RESULTS

Living with chronic pain and LGMD affected everyday life in terms of the participants' overall Sense of Coherence. Beneficial or unfavorable coping strategies were identified within four interrelated categorical themes: and .

CONCLUSION

Healthcare professionals should acknowledge possible chronic pain secondary to LGMD. Chronic pain appears to be a prevalent problem in people with LGMD with negative impact on everyday life, yet patients with LGMD did not receive sufficient information and necessary tools from health professionals to cope with chronic pain. Thus, adequate pain management appeared to be a difficult and self-taught process. Educating health professionals on how to support patients with LGMD and chronic pain is needed.IMPLICATIONS FOR REHABILITATIONHealth professionals should acknowledge and address the possibility of chronic pain secondary to limb-girdle muscular dystrophy (LGMD) and educate patients in pain management.Physiotherapy, energy management and engagement in meaningful activities may help patients gain some control of pain and limit the consequences of pain on everyday life.Supporting patients to accept pain and to shift focus towards their current capabilities may potentially improve pain management.Educating health professionals on how to support patients with LGMD and chronic pain is needed.

摘要

目的

探讨肢带型肌营养不良症(LGMD)伴慢性疼痛患者日常生活中面临的挑战及相关体验,旨在改善康复服务。

材料与方法

本研究采用定性设计,使用解释性描述方法和健康促进理论中的韧性理论作为理论框架。2021 年 4 月至 5 月,我们对 19 名成人 LGMD 患者进行了 4 次半结构式焦点小组访谈。由于 COVID-19,访谈在线上进行。

结果

慢性疼痛和 LGMD 对参与者整体韧性感产生影响,从而影响日常生活。通过四个相互关联的类别主题确定了有益或不利的应对策略:(1)身体挑战,(2)疼痛挑战,(3)社交挑战,(4)心理挑战。

结论

医疗保健专业人员应认识到 LGMD 可能导致慢性疼痛。慢性疼痛似乎是 LGMD 患者的一个普遍问题,对日常生活有负面影响,但 LGMD 患者并未从卫生专业人员那里获得足够的信息和必要的工具来应对慢性疼痛。因此,充分的疼痛管理似乎是一个困难且自学的过程。需要对卫生专业人员进行教育,以支持 LGMD 和慢性疼痛患者。

对康复的意义

卫生专业人员应认识到并处理因肢带型肌营养不良症(LGMD)导致慢性疼痛的可能性,并对患者进行疼痛管理教育。物理治疗、能量管理和参与有意义的活动可能有助于患者控制疼痛并限制疼痛对日常生活的影响。支持患者接受疼痛并将注意力转移到当前能力上,可能会改善疼痛管理。需要对卫生专业人员进行教育,以支持 LGMD 和慢性疼痛患者。

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