Lives on Hold A Qualitative Synthesis Exploring the Experience of Chronic Low-back Pain
Lives on Hold A Qualitative Synthesis Exploring the Experience of Chronic Low-back Pain
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DOI：
10.1097/ajp.0b013e31827a6dd8
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发表时间：
2013-10-01
影响因子：
2.9
通讯作者：
O'Sullivan, Peter
中科院分区：
文献类型：
--
作者：
Bunzli, Samantha;Watkins, Rochelle;O'Sullivan, Peter
目的：慢性非特异性腰痛（CLBP）是一种普遍的、昂贵的、对干预具有显著抵抗力的疾病。大量证据表明，临床医生和患者持有的生物医学信念与CLBP经验的生物心理社会性质之间存在不匹配。这一定性研究的综合目的是为临床医生提供对其患者CLBP经历的更丰富的理解，以强调在CLBP的临床管理中摆脱生物医学范式的重要性。方法：采用从个体角度探讨CLBP体验的定性研究。25篇代表18项研究的文章，涉及713名参与者，进行了3个阶段的分析过程：提取/编码、分组和抽象。结果：出现了三个主要主题：CLBP的社会建构；CLBP性质的社会心理影响；应对CLBP。讨论：作者将CLBP的经历概念化为传记性的暂停，其中暂停的三个方面被描述：暂停健康，暂停自我，暂停未来。本文讨论了提高临床医生对CLBP经验认识的意义和未来研究的方向。
Objectives:Chronic nonspecific low-back pain (CLBP) is a prevalent, costly condition that is remarkably resistant to intervention. Substantial evidence suggests that a mismatch exists between the biomedical beliefs held by clinicians and patients and the biopsychosocial nature of CLBP experience. The aim of this metasynthesis of qualitative studies was to provide clinicians with a richer understanding of their patients' CLBP experience to highlight the importance of moving away from biomedical paradigms in the clinical management of CLBP.Methods:Qualitative studies exploring the CLBP experience from the perspective of the individual were included. Twenty-five articles representing 18 studies involving 713 participants were subjected to the 3-stage analytic process of extraction/coding, grouping, and abstraction.Results:Three main themes emerged: the social construction of CLBP; the psychosocial impact of the nature of CLBP; and coping with CLBP.Discussion:The authors conceptualize the experience of CLBP as biographical suspension in which 3 aspects of suspension are described: suspended wellness, suspended self, and suspended future. The implications of improved clinician understanding of the CLBP experience and directions for future research are discussed.