“我将尝试任何事情”工作年龄中风幸存者的经历与慢性中风后疼痛:解释性现象学分析。

IF 2 4区 医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2024-10-01 Epub Date: 2023-12-07 DOI:10.1080/09638288.2023.2288688
Johanna Bruger, Joanna Semlyen, Catherine Elaine Longworth Ford
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引用次数: 0

摘要

目的:调查英国工作年龄成人卒中后慢性疼痛的经历。方法:对8名工作年龄(46-64岁)、经历慢性卒中后疼痛(≥3个月)的英国卒中幸存者进行半结构化访谈。访谈采用解释性现象学分析进行分析。结果:分析得出三个组体验主题:“疼痛体验的孤独”、“不满意的医疗保健和自我护理的需要”和“疼痛接受的发展”。研究结果表明,人们将中风后的疼痛视为一种无形的残疾,被他人忽视和误解。此外,在缺乏卒中后疼痛的鉴别诊断、清晰、准确的信息和替代药物治疗的情况下,卒中后疼痛患者投入自己的资源来寻找答案和与疼痛共存的方式。结论:研究结果提示医护人员需要对卒中后疼痛进行进一步的教育,在卒中后评估中考虑疼痛,需要明确的疼痛鉴别诊断,并向患者提供准确的信息。需要研究建立非药物循证治疗方法,如疼痛管理规划、同伴支持和心理干预。
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"I will try anything" the experience of working age stroke survivors living with chronic post-stroke pain: an interpretative phenomenological analysis.

Purpose: To investigate the experience of working age adults living with chronic post-stroke pain in the United Kingdom (UK).

Methods: Semi-structured interviews were conducted with eight working age (46-64 years) UK-based stroke survivors who experience chronic post-stroke pain (≥3 months). The interviews were analysed using interpretative phenomenological analysis.

Results: The analysis led to three Group Experiential Themes: "The Solitude of the Pain Experience," "Unsatisfactory Healthcare and the Need for Self-Care" and "The Development of Pain Acceptance." Findings suggest that individuals see their post-stroke pain as an invisible disability, which is overlooked and misunderstood by others. Furthermore, in the absence of a differential post-stroke pain diagnosis, clear, accurate information and alternatives to pharmacological treatments, individuals with post-stroke pain invest their own resources in finding answers and a way to live with the pain.

Conclusions: The findings suggest the need for further education on post-stroke pain for healthcare professionals, the consideration of pain in post-stroke assessments, the need for clear differential pain diagnoses and the provision of accurate information to patients. Research is needed to establish non-pharmacological evidence-based treatment approaches, such as pain management programmes, peer support and psychological interventions.

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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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