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“它是你与之共存的东西,就像你身体里的一个器官”——一项关于黎巴嫩慢性腰痛患者生活经历的定性研究。

"It is something you live with, like an organ in your body" a qualitative study on the lived experiences of people suffering from chronic low back pain in Lebanon.

作者信息

Najem Charbel, Wijma A J, Meeus M, Cagnie B, Ayoubi F, Van Oosterwijck J, De Meulemeester K, Van Wilgen C P

机构信息

Spine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

L3S, Faculty of Public Health, Antonine University, Baabda, Lebanon.

出版信息

Disabil Rehabil. 2025 Apr;47(7):1795-1806. doi: 10.1080/09638288.2024.2384620. Epub 2024 Aug 1.

Abstract

PURPOSE

This paper aims to understand the distinctive biopsychosocial aspects and patient perspectives on chronic low back pain in Lebanon, an Arab country with a unique and rich cultural heritage.

METHOD

Qualitative, semi-structured interviews with 12 Lebanese patients purposefully sampled from various governorates. The interviews included participants from different geographic areas and religions. The data underwent analysis through an inductive thematic approach guided by a bounded relativist ontology, a subjectivist epistemology, and a descriptive phenomenological framework. The coding process was managed by computer-assisted qualitative data analysis software (QSR NVivo version 12.0).

RESULTS

The researchers identified and constructed two themes: (1) Chronic low back pain: understanding the impact, coping strategies, and communication patterns in lived experiences within the Lebanese context. This theme sheds light on the complexities of pain management and societal influences in Lebanon. (2) Explanatory model of patients living with chronic low back pain in Lebanon. This theme allowed an exploration of the multifaceted narratives of chronic low back pain.

CONCLUSION

This study found that Lebanese individuals attribute chronic low back pain to biomedical factors despite some recognizing psychosocial elements. It emphasizes the need to educate patients on the biopsychosocial model, facilitate better care, and dispel misconceptions.

摘要

目的

本文旨在了解黎巴嫩这个拥有独特丰富文化遗产的阿拉伯国家中慢性腰痛独特的生物心理社会方面及患者观点。

方法

对从不同省份有目的地抽取的12名黎巴嫩患者进行定性、半结构化访谈。访谈参与者来自不同地理区域和宗教。数据通过归纳主题法进行分析,该方法以有限相对主义本体论、主观主义认识论和描述性现象学框架为指导。编码过程由计算机辅助定性数据分析软件(QSR NVivo 12.0版)管理。

结果

研究人员确定并构建了两个主题:(1)慢性腰痛:理解黎巴嫩背景下生活经历中的影响、应对策略和沟通模式。该主题揭示了黎巴嫩疼痛管理的复杂性和社会影响。(2)黎巴嫩慢性腰痛患者的解释模型。该主题有助于探索慢性腰痛的多方面叙述。

结论

本研究发现,黎巴嫩人将慢性腰痛归因于生物医学因素,尽管有些人认识到心理社会因素。它强调需要对患者进行生物心理社会模型教育,促进更好的护理,并消除误解。

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