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患者对纤维肌痛认知的调查:一项在线定性调查的结果。

Investigation of patients' understanding of fibromyalgia: Results from an online qualitative survey.

机构信息

Department of Psychiatry & Behavioral Health, The Ohio State University Wexner Medical Center, 1670 Upham Drive, Columbus, OH 43210, USA.

Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, 575 Children's Roadd, Columbus, OH 43215, USA; Department of Pediatrics, The Ohio State University College of Medicine, 370 W. 9th Avenue, Columbus, OH 43210, USA.

出版信息

Patient Educ Couns. 2024 May;122:108156. doi: 10.1016/j.pec.2024.108156. Epub 2024 Jan 17.

Abstract

OBJECTIVE

An important component to effective fibromyalgia treatment is patient education about the condition. While previous educational interventions have been developed, these have not incorporated the lived experiences of patients and may not address common misunderstandings among those who may benefit from these interventions. This study aimed to explore understanding, confusion, and gaps in knowledge about fibromyalgia among those who report a fibromyalgia diagnosis.

METHODS

Participants were recruited via clinic flyers and the social media page of a chronic pain research laboratory. Participants completed an online survey that assessed their knowledge of fibromyalgia via open-ended questions. Responses were analyzed via thematic analysis to identify, analyze, and report themes.

RESULTS

Thirty-eight participants completed the survey (63% female, ages 18-68). Common themes that arose from patients included being unsure of the cause of their fibromyalgia, frustration and confusion about the random/variable nature of symptoms and flares, feeling that their condition was invisible, and desiring more information on available treatments.

CONCLUSION

Participants in this study expressed confusion about many aspects of fibromyalgia and a desire for more understanding from others in their life about this condition.

PRACTICE IMPLICATIONS

Future interventions would benefit from tailoring fibromyalgia education to the specific knowledge and lived experiences of patients.

摘要

目的

有效的纤维肌痛治疗的一个重要组成部分是对患者进行有关病情的教育。虽然已经开发出以前的教育干预措施,但这些措施没有纳入患者的生活体验,并且可能无法解决那些可能从这些干预措施中受益的人的常见误解。本研究旨在探讨那些报告纤维肌痛诊断的人对纤维肌痛的理解、困惑和知识差距。

方法

通过诊所传单和慢性疼痛研究实验室的社交媒体页面招募参与者。参与者完成了一项在线调查,通过开放式问题评估他们对纤维肌痛的了解。通过主题分析对回答进行分析,以确定、分析和报告主题。

结果

38 名参与者完成了调查(63%为女性,年龄 18-68 岁)。患者中出现的常见主题包括不确定纤维肌痛的原因、对症状和发作的随机/可变性质感到沮丧和困惑、感觉自己的病情无法被看到,以及希望获得更多关于现有治疗方法的信息。

结论

本研究中的参与者对纤维肌痛的许多方面表示困惑,并希望生活中的其他人能更多地了解这种疾病。

实践意义

未来的干预措施将受益于根据患者的具体知识和生活经验来调整纤维肌痛教育。

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本文引用的文献

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Fibromyalgia: the underdiagnosed disease of pain.纤维肌痛:未被充分诊断的疼痛性疾病。
Reumatologia. 2021;59(1):64. doi: 10.5114/reum.2021.103452. Epub 2021 Feb 28.
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Invalidation of chronic pain: a thematic analysis of pain narratives.慢性疼痛的否定:疼痛叙事的主题分析。
Disabil Rehabil. 2021 Mar;43(6):861-869. doi: 10.1080/09638288.2019.1636888. Epub 2019 Jul 10.
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Psychological impact of fibromyalgia: current perspectives.纤维肌痛的心理影响:当前观点
Psychol Res Behav Manag. 2019 Feb 13;12:117-127. doi: 10.2147/PRBM.S178240. eCollection 2019.
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Advocating for Behavior Change With Education.通过教育倡导行为改变。
Am J Lifestyle Med. 2017 Dec 9;12(2):113-116. doi: 10.1177/1559827617745479. eCollection 2018 Mar-Apr.
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What causes fibromyalgia? An online survey of patient perspectives.纤维肌痛的病因是什么?一项关于患者观点的在线调查。
Health Psychol Open. 2018 Sep 25;5(2):2055102918802683. doi: 10.1177/2055102918802683. eCollection 2018 Jul-Dec.

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