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"寻找新常态:患有慢性下背痛人群应对疾病过程中的生活体验"。

"Finding a new normal: the lived experience of persons' journey towards coping with persistent low back pain".

机构信息

School of Health Sciences, University of Brighton, 49 Darley Road, Eastbourne BN20 7UR, UK.

Physiotherapy MSK Department, Sussex Community NHS Foundation Trust, Horsham Hospital, Hurst Road, Horsham RH12 2DR, UK.

出版信息

Physiother Theory Pract. 2024 May;40(5):983-998. doi: 10.1080/09593985.2022.2144782. Epub 2022 Nov 13.

Abstract

INTRODUCTION

Persistent low back pain (PLBP) is the biggest global cause of disability. Persons with PLBP experience biographic disruption and existential crisis. Guidelines recommend a biopsychosocial approach to management, with the emphasis on coping strategies.

PURPOSE

However, there is a paucity of research exploring the lived experience of persons who self-identify as coping with PLBP.

METHOD

The study used an interpretive phenomenological approach, analyzing transcripts from 1:1 interviews with six persons who self-identify as coping with PLBP. Poetic language was used to elicit empathic, embodied relational understanding and convey a richer understanding of the phenomenon that authentic quotations might not able to reveal.

FINDINGS AND CONCLUSION

Participants' descriptions conveyed the sense of a journey, starting with the loss of a sense of self as they engaged in the pain battle, followed by a transition toward a new 'normal,' in which time, acceptance and trust in their own intuition were meaningful components. Although anxiety and fear were a continued presence, but they became more manageable. Society's role in the coping process was significantly meaningful and is something which requires reflections from therapists' and more widely.

摘要

简介

持续性下背痛(PLBP)是全球最大的残疾原因。患有 PLBP 的人会经历传记中断和生存危机。指南建议采用生物心理社会方法进行管理,重点是应对策略。

然而,对于自我认同为应对 PLBP 的人来说,很少有研究探索他们的生活体验。

该研究采用解释性现象学方法,对 6 名自我认同为应对 PLBP 的人进行一对一访谈的转录本进行分析。使用诗意语言来引出共情、体现关系的理解,并传达出比真实引语更丰富的现象理解。

研究结果和结论

参与者的描述传达了一种旅程的感觉,从他们参与疼痛斗争时自我意识的丧失开始,然后过渡到一个新的“常态”,在这个过程中,时间、对自己直觉的接受和信任是有意义的组成部分。尽管焦虑和恐惧仍然存在,但它们变得更容易控制。社会在应对过程中的作用具有重要意义,这是治疗师和更广泛的社会需要反思的地方。

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