McVeigh J, Crozier Molly, Macinnes Venetia, Morris-McCall Jazmine, Stewart Sophie, Hick Shannon, Thompson Craig
Curtin School of Allied Health, Curtin University, Perth, Australia.
Movement Physiology Laboratory, University of Witwatersrand, Johannesburg, South Africa.
Br J Occup Ther. 2022 Oct;85(10):820-827. doi: 10.1177/03080226221083230. Epub 2022 May 5.
Chronic pain and sleep disturbances are often co-morbid. Sleep disturbances can negatively affect self-care occupations, cognition, mood, emotional functioning and physical wellbeing.
To explore occupational therapists' experience working with clients with chronic pain and sleep difficulties.
Semi-structured interviews were conducted with 11 occupational therapists with experience working with clients with sleep disturbances and chronic pain.
The relationship between sleep disturbances and chronic pain was described as being complex and multifaceted. Participants believed they were uniquely placed to work with clients experiencing these two conditions. They felt inadequately equipped to treat sleep disturbances and chronic pain. Participants indicated that best practice required multiple interventions and a team-based approach. Finally, the participants noted that sleep disturbances and chronic pain are a growing area of practice.
The findings suggest that occupational therapists tailor their intervention strategies to be early, multi-pronged and individualised. Institutional barriers need to be addressed to further develop occupational therapists' skill set when working in the areas of sleep and chronic pain. Further research to support the interventions currently used in practice to treat these two conditions is needed.
慢性疼痛和睡眠障碍常常并存。睡眠障碍会对自我护理活动、认知、情绪、情感功能和身体健康产生负面影响。
探讨职业治疗师与患有慢性疼痛和睡眠困难的客户合作的经验。
对11名有与睡眠障碍和慢性疼痛客户合作经验的职业治疗师进行了半结构化访谈。
睡眠障碍与慢性疼痛之间的关系被描述为复杂且多方面的。参与者认为他们在与经历这两种情况的客户合作方面具有独特的地位。他们觉得在治疗睡眠障碍和慢性疼痛方面能力不足。参与者表示，最佳实践需要多种干预措施和基于团队的方法。最后，参与者指出睡眠障碍和慢性疼痛是一个不断发展的实践领域。
研究结果表明，职业治疗师应调整其干预策略，使其早期、多管齐下且个性化。在睡眠和慢性疼痛领域工作时，需要消除机构障碍，以进一步发展职业治疗师的技能。需要进一步研究来支持目前在实践中用于治疗这两种情况的干预措施。
