School of Psychological Sciences, College of Health and Medicine, University of Tasmania, Hobart, Australia.
Scand J Pain. 2023 May 16;23(3):518-530. doi: 10.1515/sjpain-2022-0160. Print 2023 Jul 26.
Chronic prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a complex condition which causes a significant burden on the diagnosed individuals. Assessment and management are perplexing, often resulting in unsatisfactory outcomes. Existing research has only focused on patients' perspectives of pain experiences, but scant evidence is available to understand the barriers that undermine effective pain management. Using an exploratory approach, this study examined these barriers from practitioners' perspectives.
Twelve semi-structured interviews were conducted with practitioners across disciplines who have experience in chronic pelvic pain management in males. Practitioners expressed their views and experiences in supporting men with CP/CPPS and what barriers they perceived when providing treatment for patients. Data were analysed using reflexive thematic analysis supported by NVivo software.
Five broad and interrelated themes were identified: (1) Where to Start, (2) Insufficient Resources, (3) Prioritisation, (4) Training and Confident Practice and (5) Constraints in Help-Seeking.
Practitioners value multimodal management using a biopsychosocial approach; however, practical challenges prevent practitioners from choosing and applying this approach in clinical practice. The findings also identified some unique challenges faced by men with CP/CPPS consistent with previous evidence from patient perspective. Refining terminology, developing specific resources, and increasing psychosocial treatment options are urgently needed.
慢性前列腺炎/慢性骨盆疼痛综合征（CP/CPPS）是一种复杂的疾病，会给确诊患者带来巨大负担。评估和管理颇具难度，往往导致治疗效果不尽人意。现有研究仅关注患者的疼痛体验，而鲜有证据可用于了解影响有效疼痛管理的障碍。本研究采用探索性方法，从从业者的角度研究这些障碍。
对跨学科、有男性慢性骨盆疼痛管理经验的从业者进行了 12 次半结构化访谈。从业者表达了他们在支持 CP/CPPS 男性患者方面的观点和经验，以及在为患者提供治疗时他们认为存在哪些障碍。使用 NVivo 软件支持的反思性主题分析对数据进行分析。
确定了五个广泛且相互关联的主题：（1）从何处开始，（2）资源不足，（3）优先级，（4）培训和自信实践，（5）寻求帮助的限制。
从业者重视使用生物心理社会方法的多模式管理；然而，实际挑战阻碍了从业者在临床实践中选择和应用这种方法。研究结果还发现了一些 CP/CPPS 男性患者特有的挑战，与之前从患者角度获得的证据一致。急需改进术语、开发特定资源并增加心理社会治疗选择。
