Exploring the Pain Experience of Chinese Elderly Patients with Chronic Musculoskeletal Pain and Multimorbidity in Primary Care: A Qualitative Study using a Grounded Theory Approach

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2020-01-27 DOI:10.22146/APFMJ.47316
Winky Law, D. Xue, Sibei Lin, Y. H. Wong, R. W. Sit
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引用次数: 1

Abstract

Background: Chronic musculoskeletal pain (CMSP) is common in older people with multimorbidity (MM). Given the complex etiology of CMSP, it is worthwhile to explore the meanings attached to an individual and its interaction with MM. The study aimed to explore the meanings underneath the experience of CMSP and MM, to generate new insight on the support of pain management in the elderly population.   Methods: 20 eligible subjects aged between 65 and 80 were recruited through purposive sampling. Semi-structured in-depth interviews were conducted, with data transcript, coded and analyzed using grounded theory approach. Results: Quotes evolved on the interaction between CMSP and MM, with participants expressed worries of pain may affect disease control. Three themes emerged which included the impact of CMSP on the physical and psychosocial well-being among the elderly with MM, the barriers to pain care in the community, and the perception and strategies on pain management. Conclusions: Older people with CMSP and MM were suffering from a significant physical and psychological impact on their well-being. Self-care remains a preferred adjunct in pain management; support should be strengthened at individual (education) and community (urban development) level.
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探索中国老年慢性肌肉骨骼疼痛和多发病初级保健患者的疼痛体验:一项基于基础理论的定性研究
背景:慢性肌肉骨骼疼痛(CMSP)在患有多发性疾病(MM)的老年人中很常见。鉴于CMSP的病因复杂,有必要探究个体的意义及其与MM的相互作用。本研究旨在探索CMSP和MM经历背后的意义,为老年人疼痛管理的支持提供新的见解。方法:通过有针对性的抽样,招募20名年龄在65岁至80岁之间的合格受试者。采用半结构化的深度访谈,采用扎根理论方法对数据进行记录、编码和分析。结果:引用了CMSP和MM之间的相互作用,参与者表示担心疼痛可能会影响疾病控制。出现了三个主题,包括CMSP对MM老年人身体和心理健康的影响、社区疼痛护理的障碍以及对疼痛管理的看法和策略。结论:患有CMSP和MM的老年人的身心健康受到了重大影响。自我护理仍然是疼痛管理的首选辅助手段;应在个人(教育)和社区(城市发展)层面加强支持。
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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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