Matias-Soto Javier, Pineda-Galan Consolacion, Martin-Sanchez Ana Isabel, Gonzalez-Mesa Jose Manuel, Aguayo-Alves Adriane, Luque-Suarez Alejandro
Universidad de Málaga, Andalucía Tech, Facultad de Ciencias de la Salud, Departamento de Fisioterapia, Campus de Teatinos, Arquitecto Francisco Peñalosa, 3, 29071, Malaga, Spain; Chair of Health and Pain, University of Malaga, Malaga, Spain.
Universidad de Málaga, Andalucía Tech, Facultad de Ciencias de la Salud, Departamento de Fisioterapia, Campus de Teatinos, Arquitecto Francisco Peñalosa, 3, 29071, Malaga, Spain; Chair of Health and Pain, University of Malaga, Malaga, Spain.
Musculoskelet Sci Pract. 2024 Aug;72:103123. doi: 10.1016/j.msksp.2024.103123. Epub 2024 Jun 17.
To gain insight into the emotions, cognitions, and behaviours experienced by people with chronic low back pain (CLBP) undergoing invasive treatment in a pain unit.
A cross-sectional qualitative study based on individual interviews. This study included patient involvement in its design and development.
An interpretative phenomenological approach was adopted to understand the multidimensional experience of patients. The interview script was a translated, adapted, and expanded version of the one proposed by Cognitive and Functional Therapy. A mixed coding method was applied to structure the interviews. Three themes were created, with the three most frequently reported emotions, cognitions, and behaviours as subthemes. A patient with CLBP approved the initial protocol and the aim of the study. Subsequently, the patient contributed questions to the interview script, checked the coding process, and approved the final version of the manuscript.
Twenty-two patients undergoing epidural infiltrations in a pain unit were interviewed. (i)"Fears", (ii)"Frustration", and (iii)"Worry" were the three most commonly expressed emotions. Cognitions related to (i)"Pain predictability", (ii)"Pain description and perception", and (iii)"Pain interference/disability" were also widely reported. The theme "Behaviours" was composed of the following subthemes: (i)"Strategies for managing symptoms", (ii)"Social behaviours", and (iii)"Strategies for coping with daily tasks". Noteworthily, cognitions related to the (i)"Diagnosis", (ii)"Health system attention", and (iii)"Medical prescriptions" arose from questions provided by patient involvement.
Patients with CLBP expressed a wide variety of emotions, cognitions, and behaviours that must be considered by health professionals with the goal of providing the best patient-centred care.
深入了解在疼痛科接受侵入性治疗的慢性下腰痛（CLBP）患者所经历的情绪、认知和行为。
基于个体访谈的横断面定性研究。本研究在设计和开展过程中纳入了患者参与。
采用解释现象学方法来理解患者的多维度体验。访谈脚本是认知与功能疗法所提出脚本的翻译、改编和扩展版本。应用混合编码方法来构建访谈结构。创建了三个主题，将报告频率最高的三种情绪、认知和行为作为子主题。一名CLBP患者批准了初始方案和研究目的。随后，该患者为访谈脚本提供了问题，检查了编码过程，并批准了手稿的最终版本。
对22名在疼痛科接受硬膜外注射的患者进行了访谈。（i）“恐惧”、（ii）“沮丧”和（iii）“担忧”是三种最常表达的情绪。与（i）“疼痛可预测性”、（ii）“疼痛描述与感知”和（iii）“疼痛干扰/残疾”相关的认知也被广泛提及。“行为”主题由以下子主题组成：（i）“症状管理策略”、（ii）“社交行为”和（iii）“应对日常任务的策略”。值得注意的是，与（i）“诊断”、（ii）“卫生系统关注”和（iii）“医疗处方”相关的认知源于患者参与提供的问题。
CLBP患者表达了各种各样的情绪、认知和行为，医疗专业人员在提供以患者为中心的最佳护理时必须予以考虑。
