Haghshenas Hajar, Shaygan Maryam, Pasyar Nilofar, Rambod Masoume
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 2;29(3):343-351. doi: 10.4103/ijnmr.ijnmr_327_23. eCollection 2024 May-Jun.
Resilience is a psychological trait and a protective factor that plays a vital role in coping with Chronic Pain (CP). Despite its importance, research has yet to fully clarify the concept and components of resilience in patients with CP. Accordingly, the present study aims to explain the components of resilience in patients with CP.
The current qualitative study used a conventional content analysis methodology. The research population included all patients with CP who were referred to clinics affiliated with Shiraz University of Medical Sciences (south of Iran) from August 2021 to August 2022. Participants were selected using the purposive sampling method. In-depth semi-structured interviews were conducted with 20 participants to collect information. Data analysis was conducted using MAXQDA 2020 software in conjunction with data collection efforts.
Generally, in the current study, 30 sub-sub-categories, 11 sub-categories, and five main categories were extracted as components of resilience in patients with CP. The main categories of resilience against CP included the following: 1. emotional self-regulation, 2. psychological flexibility, 3. self-care, 4. appeal to religion-spirituality, and 5. internal resources and individual competencies.
The present study highlights the different physical, mental, and religious-spiritual strategies that may contribute to resilience against pain. The resilience components identified in this study provide a foundation for healthcare professionals, particularly nurses, to design and implement diverse pain management strategies that enhance adjustment to CP conditions.
心理韧性是一种心理特质和保护因素，在应对慢性疼痛（CP）中起着至关重要的作用。尽管其重要性，但关于CP患者心理韧性的概念和组成部分的研究尚未完全阐明。因此，本研究旨在解释CP患者心理韧性的组成部分。
本定性研究采用传统的内容分析法。研究人群包括2021年8月至2022年8月转诊至设拉子医科大学（伊朗南部）附属医院的所有CP患者。采用目的抽样法选取参与者。对20名参与者进行了深入的半结构化访谈以收集信息。结合数据收集工作，使用MAXQDA 2020软件进行数据分析。
总体而言，在本研究中，提取了30个子子类别、11个子类别和五个主要类别作为CP患者心理韧性的组成部分。应对CP的心理韧性主要类别包括：1. 情绪自我调节，2. 心理灵活性，3. 自我护理，4. 诉诸宗教精神，5. 内部资源和个人能力。
本研究强调了可能有助于抵抗疼痛的不同身体、心理和宗教精神策略。本研究确定的心理韧性组成部分为医疗保健专业人员，特别是护士，设计和实施各种疼痛管理策略提供了基础，这些策略可增强对CP状况的适应能力。
