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Patients' Experiences of Pain Have an Impact on Their Pain Management Attitudes and Strategies

Artikel i vetenskaplig tidskrift
Författare Eva Angelini
Helle Wijk
Helena Brisby
Adad Baranto
Publicerad i Pain Management Nursing
Volym 19
Nummer/häfte 5
Sidor 464-473
ISSN 1524-9042
Publiceringsår 2018
Publicerad vid Institutionen för vårdvetenskap och hälsa
Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 464-473
Språk en
Länkar dx.doi.org/10.1016/j.pmn.2018.02.06...
Ämnesord qualitative content-analysis, lumbar spinal stenosis, postoperative, pain, preoperative information, national-survey, centered care, focus, groups, back-pain, surgery, participation, Nursing
Ämneskategorier Annan klinisk medicin

Sammanfattning

Objectives: Postoperative pain remains undermanaged in orthopedic surgery. To identify areas of improvement for future structural changes in pain management, patients' experiences of pain and pain management when undergoing elective lumbar spine surgery were explored, using a qualitative method with focus group interviews. Setting: The study setting was an orthopedic spine surgery department at a University Hospital in Sweden. Methods: This study consisted of two focus group interviews with patients (n = 6/group, a total of 12 patients) who had undergone lumbar spine surgery 4 days to 5 weeks prior to the focus group interviews. The interviews were semi-structured, and the analysis was performed using qualitative content analysis. Results: The main result of this study revealed that patients' experiences of pain influenced their attitudes and strategies for pain management. Three main categories emerged from the focus group interviews: I. Coping with pain while waiting for surgery; II. Using different pain-relieving strategies after surgery; and III. How organizational structures influence the pain experiences. Conclusions: In conclusion the results from this study acknowledge that postoperative pain experiences and coping strategies after spine surgery are highly diverse and individual. This calls for staff having a more personalized approach to pain management in order to optimize pain relief, which was stressed as highly valued by the patients. (C) 2018 by the American Society for Pain Management Nursing

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