Pain management among Dominican patients with advanced osteoarthritis: a qualitative study

Autor: Rachel G. Kasdin, Wendy Perdomo, Laura M. Bogart, Jeffrey N. Katz, Christopher A. Devine, Mónica Orizondo, Amy Yu, Aileen M. Davis
Jazyk: angličtina
Předmět:
Adult
Male
medicine.medical_specialty
Sports medicine
Family support
medicine.medical_treatment
Arthroplasty
Replacement
Hip
Arthritis
Osteoarthritis
Osteoarthritis
Hip
03 medical and health sciences
Young Adult
0302 clinical medicine
Rheumatology
Epidemiology
Adaptation
Psychological
medicine
Humans
Pain Management
Orthopedics and Sports Medicine
030212 general & internal medicine
Postoperative Period
Arthroplasty
Replacement
Knee
Qualitative Research
Total joint replacement
Aged
030203 arthritis & rheumatology
Analgesics
Pain
Postoperative
Rehabilitation
business.industry
Dominican Republic
Middle Aged
Osteoarthritis
Knee
medicine.disease
Analgesics
Opioid
Religion
Opioid
International
Physical therapy
Female
Chronic Pain
business
Qualitative
Qualitative research
medicine.drug
Research Article
Zdroj: BMC Musculoskeletal Disorders
ISSN: 1471-2474
DOI: 10.1186/s12891-016-1075-y
Popis: Background Advanced osteoarthritis and total joint replacement (TJR) recovery are painful experiences and often prompt opioid use in developed countries. Physicians participating in the philanthropic medical mission Operation Walk Boston (OpWalk) to the Dominican Republic have observed that Dominican patients require substantially less opioid medication following TJR than US patients. We conducted a qualitative study to investigate approaches to pain management and expectations for postoperative recovery in patients with advanced arthritis undergoing TJR in the Dominican Republic. Methods We interviewed 20 patients before TJR about their pain coping mechanisms and expectations for postoperative pain management and recovery. Interviews were conducted in Spanish, translated, and analyzed in English using content analysis. Results Patients reported modest use of pain medications and limited knowledge of opioids, and many relied on non-pharmacologic therapies and family support to cope with pain. They held strong religious beliefs that offered them strength to cope with chronic arthritis pain and prepare for acute pain following surgery. Patients exhibited a great deal of trust in powerful others, expecting God and doctors to cure their pain through surgery. Conclusion We note the importance of understanding a patient’s individual pain coping mechanisms and identifying strategies to support these coping behaviors in pain management. Such an approach has the potential to reduce the burden of chronic arthritis pain while limiting reliance on opioids, particularly for patients who do not traditionally utilize powerful analgesics.
Databáze: OpenAIRE
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