The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse Hospital, Denmark.
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Disabil Rehabil. 2024 Jun;46(13):2777-2788. doi: 10.1080/09638288.2023.2230127. Epub 2023 Jul 6.
This study investigated patient perceptions of multidisciplinary chronic pain rehabilitation, including the occupational therapy lifestyle management program REVEAL(OT), on everyday life with chronic pain.
Individual interviews were conducted using video conferencing after completing multidisciplinary chronic pain rehabilitation. The interviews followed a semi-structured interview guide and investigated patient experiences with occupational therapy-supported health behavior transformation. The interviews were transcribed verbatim and analyzed iteratively using an inductive semantic data-driven approach inspired by Braun & Clarke's methodology.
Five females, 34 to 58 years old, revealed three common themes: To discover oneself anew; Increased energy and calmness; and Look into the future. The themes reflected transformations towards a healthier lifestyle through enhanced self-control, developing meaningful and secure everyday activities, and gaining reaffirmed dignity. The study also identified the participants' need for professional assistance to cope with the pain after discharge.
Chronic pain rehabilitation that included an occupational therapy intervention supported health behavior transformation and chronic pain self-management in females, where meaningful daily occupations and physical activity played an important role. Individually tailored support, also available after chronic pain rehabilitation, would benefit the transformation process towards improved pain coping in females.Implications for rehabilitationPersonal gains for health and well-being may develop over a shorter or longer time after chronic pain rehabilitation.Targeting daily occupations and physical activity during chronic pain rehabilitation appears meaningful for females living with chronic pain.Progression from an individual to group approach can be relevant in planning chronic pain rehabilitation, but the individual capacities shall be considered.Male perspectives on chronic pain rehabilitation that includes focus on daily occupations and lifestyle need further investigation.
本研究调查了患者对多学科慢性疼痛康复的看法，包括职业治疗生活方式管理方案 REVEAL（OT），以了解他们在慢性疼痛日常生活中的体验。
在完成多学科慢性疼痛康复后，使用视频会议进行个人访谈。访谈遵循半结构化访谈指南，调查患者在职业治疗支持的健康行为转变方面的体验。访谈逐字转录，并使用受 Braun 和 Clarke 方法启发的归纳语义数据驱动方法进行迭代分析。
五名年龄在 34 至 58 岁之间的女性参与者揭示了三个共同的主题：重新发现自我；增强的能量和冷静；展望未来。这些主题反映了通过增强自我控制、发展有意义和安全的日常活动以及获得重新确认的尊严，向更健康的生活方式转变。研究还发现，参与者在出院后需要专业帮助来应对疼痛。
包括职业治疗干预的慢性疼痛康复支持女性健康行为的转变和慢性疼痛的自我管理，其中有意义的日常活动和体育活动起着重要作用。针对女性的慢性疼痛康复，可以提供个性化的支持，这将有助于她们在应对疼痛方面的转变过程。
慢性疼痛康复后，个人可能会在较短或较长的时间内获得健康和幸福的收益。在慢性疼痛康复期间针对日常活动和体育活动进行治疗对患有慢性疼痛的女性有意义。从个体方法到群体方法的转变可能与慢性疼痛康复计划相关，但应考虑个体能力。需要进一步研究包括关注日常活动和生活方式的男性慢性疼痛康复观点。
