Article

Chronic musculoskeletal pain is a complex condition to manage with
widespread consequences including physical disability, psychosocial effects and
increased use of healthcare. Previous research has found patients' experiences
within health care can be influenced by factors such as expectations, therapist
characteristics and treatment process. This study used patient interviews to
identify the key factors that influence individuals' experiences in the
management of chronic pain. DESIGN: Qualitative study using semi-structured
interviews in either a home or hospital setting. METHODS: Semi-structured
interviews were conducted on eight participants attending hospital-based pain
management. Participants were asked about their experiences of pain management
and living with a chronic pain condition. Interviews were transcribed and
analysed thematically. RESULTS: Three main themes were identified; impact of
their condition on daily life, clinical interactions and the pain management
process. Understanding the condition was a key factor for the patients, in
particular, explanation by the clinician. The temporality of their pain meant
timing of appointments was critical. Patients reported factors such as family
days and follow-up sessions would improve their treatment experience.
CONCLUSIONS: This study highlighted important factors for healthcare
professionals and patients in the management of chronic pain. Participants
indicated a desire to understand their condition and learn strategies for
self-management to allow them to cope better. As patients found benefit from
being involved in the management process, discussions around the options for
treatment may enhance management and rehabilitation. It is important we continue
to research factors important to individuals with musculoskeletal pain to find an
effective, evidence-based framework for understanding and managing this
condition. Implications for rehabilitation This study highlights the importance
to patients of being given information to help them understand their pain
condition and to learn strategies for self-management to cope better. Where
information was not provided and inadequate time allowed for questioning and
discussion, patients tended to desire more frequent access to the care services.
More effective communication may result in reduced demand and more efficient
management. Patients suggested that ongoing peer support may offer an alternative
to clinician-led services.

Langue : ANGLAIS