在跨学科疼痛诊所采访老年男性:慢性疼痛的旅程和治疗经验

IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY South African Journal of Psychology Pub Date : 2023-09-07 DOI:10.1177/00812463231198059
David Blackbeard, Colleen Aldous
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引用次数: 0

摘要

急性疼痛的来源与其作为慢性疼痛的持续存在之间的关系是复杂的,涉及包括情感、认知和人际功能在内的多个系统。本研究探讨了一个跨学科慢性疼痛诊所的男性患者(N = 14)的生活经历,并基于两个主要主题:(1)慢性疼痛之旅;(2)在治疗环境中的经历。这项研究的目的是调查患有慢性疼痛的男性在日常生活中与男性身份的关系。访谈材料于2019年从一家慢性疼痛诊所的14名男性患者中收集,采用了生活世界访谈法。进行了参与者验证访谈以验证研究结果。使用团队数据分析、专题网络图和表格对笔录和访谈数据进行专题分析。这些叙述包括痛苦、损失、调整和其他社会心理后遗症,与男性身份和衰老相关的慢性疼痛生活的意义有关。这些男性经历了慢性疼痛诊所的支持和帮助,尽管在进入和治疗方面面临着重大挑战,他们不得不调整和适应。情感、认知和社会因素在参与者的描述中高度相关,因此对于慢性疼痛患者的有效、情境化和反应性管理至关重要。
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Interviewing older men at an interdisciplinary pain clinic: the journey to chronic pain and treatment experience
The relationship between sources of acute pain and its persistence as chronic pain is complex, involving multiple systems that include emotional, cognitive, and interpersonal functioning. This study explored the lived experiences of male patients ( N = 14) at an interdisciplinary chronic pain clinic and is based on two major themes: (1) the journey to chronic pain; and (2) experiences within treatment settings. The purpose of the study was to investigate the lived experiences of men living with chronic pain conditions in relation to masculine identity in their everyday contexts. Interview material was collected in 2019 from 14 male patients at a chronic pain clinic using a life-world interviewing approach. Participant validation interviews took place to verify the findings. Team data analysis, thematic network diagrams, and tabulations were used for thematic analysis of transcripts and interview data. The narratives included distress, losses, adjustment, and other psychosocial sequelae linked to the meaning of living with chronic pain in relation to masculine identity and ageing. The men experienced the chronic pain clinic to be supportive and helpful, although with significant challenges of access and treatment, which they associated with having to adjust and adapt. The affective, cognitive, and social components were highly relevant in the participants’ accounts and therefore crucial considerations for the effective, contextualized, and responsive management of chronic pain among persons living with chronic pain.
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来源期刊
South African Journal of Psychology
South African Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
3.40
自引率
10.50%
发文量
39
期刊介绍: The South African Journal of Psychology publishes contributions in English from all fields of psychology. While the emphasis is on empirical research, the Journal also accepts theoretical and methodological papers, review articles, short communications, reviews and letters containing fair commentary. Priority is given to articles which are relevant to Africa and which address psychological issues of social change and development.
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