Chronic Pain Resilience Across Clinical Populations: A Concept Analysis

IF 1.6 4区医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-06-06 DOI:10.1016/j.pmn.2024.03.019

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Abstract

Background

Chronic pain resilience is a concept that is frequently used in research but lacks theoretical clarity. Understanding chronic pain resilience is germane to developing interventions to improve it and the overall quality of life among individuals with chronic pain.

Aims

To uncover and clarify the unique characteristics of the concept of chronic pain resilience.

Design

A concept analysis using Rodgers’ evolutionary method.

Methods

Full-text articles published after 2000 in English were used to inform the concept analysis. Scopus, PubMed, PsychINFO, Embase, and CINAHL Plus with Full Text were utilized for literature searches. Rodgers’ evolutionary approach was used to clarify the attributes, antecedents, and consequences.

Results

The search yielded 31 articles that were used in the analysis. The key attributes of chronic pain resilience included engagement in meaningful activities despite pain, maintaining positive psychological homeostasis, buffering against negative mental outcomes, seeking support, and self-empowerment. After considering surrogate terms, antecedents, attributes, and consequences, chronic pain resilience may be defined as the development of the capacity to successfully adapt to chronic pain. This adaptation results in a move toward optimal social, physical, mental, and behavioral functioning by balancing negative and positive psychosocial factors, despite the additional challenges brought about by living with chronic pain.

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临床人群的慢性疼痛恢复能力：概念分析。

背景：慢性疼痛复原力是研究中经常使用的一个概念，但缺乏清晰的理论。了解慢性疼痛复原力有助于制定干预措施，改善慢性疼痛患者的疼痛状况和整体生活质量：设计：采用罗杰斯进化法进行概念分析：方法：使用罗杰斯进化法对概念进行分析。使用 Scopus、PubMed、PsychINFO、Embase 和 CINAHL Plus 全文进行文献检索。罗杰斯（Rodgers）的演化方法被用来阐明属性、前因和后果：结果：搜索结果有 31 篇文章被用于分析。慢性疼痛复原力的关键属性包括：不顾疼痛参与有意义的活动、保持积极的心理平衡、缓冲负面心理结果、寻求支持和自我赋权。在考虑了替代术语、前因、属性和后果之后，慢性疼痛复原力可被定义为成功适应慢性疼痛的能力发展。尽管慢性疼痛给生活带来了额外的挑战，但这种适应能力通过平衡消极和积极的社会心理因素，使社会、身体、精神和行为功能达到最佳状态。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.