Patient perspectives on the unwanted effects of multidisciplinary pain management programmes: A qualitative study.

Autor:	Booth G; Therapies Department, Royal National Orthopaedic Hospital NHS Trust, Middlesex, UK.; Population Health Research Institute, St George's, University of London, London, UK., Di Rosa A; Institute for Global Health and Development, Queen Margaret University, Musselburgh, UK., Corcoran P; Department of Psychology, City, University of London, London, UK., Hallisey C; Therapies Department, Royal National Orthopaedic Hospital NHS Trust, Middlesex, UK., Lucas A; Department of Clinical Health Psychology, Royal National Orthopaedic Hospital NHS Trust, London, UK., Zarnegar R; Pain Clinic, Royal National Orthopaedic Hospital NHS Trust, London, UK.
Jazyk:	angličtina
Zdroj:	Clinical rehabilitation [Clin Rehabil] 2024 Aug; Vol. 38 (8), pp. 1118-1129. Date of Electronic Publication: 2024 May 15.
DOI:	10.1177/02692155241254250
Abstrakt:	Objective: This study aimed to understand the impact of pain management programmes, focusing on the unwanted effects and their influence on patients' long-term use of self-management strategies. Design: Qualitative study. Setting: Specialist musculoskeletal hospital in North London, England. Participants: Patients with chronic musculoskeletal pain that have completed a pain management programme. Intervention: Multidisciplinary pain management programmes. Main Measures: Data were collected regarding patients' experiences and unwanted effects from the pain management programme using semi-structured interviews. Data were analysed using thematic analysis. Results: Fourteen participant interviews were included in the analysis (median age 54 years, 12 females). Four themes were generated from the data: Benefits and burdens, Pain management programme and real life, Social support and Healthcare interventions. Unwanted effects included heightened anxiety related to negative interactions with peers, being in a new environment, worries about ability to cope with the programme, social anxiety from being in a group, the strain on families due to participants being away from home and a sense of abandonment at end of the programme. Burdens associated with implementing pain management strategies were identified, including the emotional burden of imposing their self-management on close family and competing demands with time and energy spent on self-management at the expense of work or home commitments. Conclusions: Pain management programmes have an important role in helping patients to learn how to self-manage chronic pain. Their unwanted effects and the treatment burdens associated with long-term self-management may be an important consideration in improving the longevity of their beneficial effects. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu