慢性疼痛的生活调整过程:心理社会评估和临床意义

文摘

此前,患有慢性疼痛的主观维度只有很少在文献报道。然而,近年来定性心理研究增加了新的视角,描述如何遭受慢性疼痛影响生活。本文指的是一个定性研究主观经验的女性被诊断为慢性肌肉骨骼疼痛。生活在一个模型调整,转折点和段落中描述的三个阶段。我在舞台上,有越来越多的痛苦、残疾,身心疲惫。与沮丧和混乱,难以恢复日常生活;因此,一个健康的未来的照片仍完好无损。承认疼痛可能不是临时标志着进入第二阶段,特点是悲伤和失落,和未来的画面褪色。曾经给一个解释的痛苦(疼痛诊断),开发的一种新的理解,逐步改善应对技能。调整最终发展成第三阶段与建设性的利用过去的经验,和能力和控制增加了。 A new picture of the future emerged that could be handled. However, living with pain still required regular maintenance work. The outcome of qualitative investigations, including the one presented here, is discussed along with certain clinical implications. The following clinical implications are reviewed in the present study: distrust from health professionals may obstruct the adjustment process, prolong sick leave and hinder rehabilitation; providing the patient with a diagnosis (eg, an explanation of pain mechanisms) will facilitate life adjustment; acknowledging the individual experience of suffering from chronic pain will make concepts related to pain behaviour, secondary gain and sick role liable to question; and vocational rehabilitation measures should be harmonized with the actual stage of life adjustment.

疼痛研究和管理

文摘

版权

更多相关文章

相关文章