Treatment seeking behaviour in southern Chinese elders with chronic orofacial pain: a qualitative study.

Treatment seeking behaviour in southern Chinese elders with chronic orofacial pain: a qualitative study.
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DOI:
10.1186/1472-6831-14-8
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发表时间:
2014-01-25
期刊:
影响因子:
2.9
通讯作者:
McGrath C
McGrath C
中科院分区:
医学3区
文献类型:
--
作者:
Au TS;Wong MC;McMillan AS;Bridges S;McGrath C

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慢性口面疼痛(OFP)在全世界的一般成年人群中很常见。高水平的心理困扰和受损的应对能力是常见的西方人与慢性OFP,但有限的信息被发现在中国南方的人。本研究旨在探讨香港社区长者对慢性牙周炎症状的认知和经验,以及他们的求医行为。进行了探索性的定性访谈研究。老年人经历慢性OFP症状被邀请参加一个单独的半结构化访谈。共进行了25个半结构化的访谈,为25名参与者。采访中出现了与寻求治疗行为相关的问题,其中许多问题是相互关联和重叠的。这些问卷分为三个主题:(i)慢性OFP对日常生活的影响;(ii)个人对慢性OFP的认识和感受;(iii)慢性OFP的管理。参与者被发现有寻求专业治疗的意图,但存在阻碍他们继续寻求专业治疗的障碍。他们亦接受辅助治疗,如针灸、按摩及气功等。此外,还提到了广泛的自我管理技术。另一方面,那些没有寻求专业治疗慢性OFP的人声称他们已经接受或适应了疼痛作为他们生活的一部分。这项质性研究发现,香港受慢性OFP症状影响的老年人寻求许多不同的方法来管理他们的疼痛,包括传统和补充方法。牙医在处理慢性OFP中的作用尚不清楚。在获得慢性OFP护理方面存在多种障碍。研究结果可作为香港未来慢性OFP管理策略的参考。
Chronic orofacial pain (OFP) is common in general adult populations worldwide. High levels of psychological distress and impaired coping abilities are common among Western people with chronic OFP but limited information was found in southern Chinese people. This study aimed to explore the perceptions and experiences of community dwelling elderly people with chronic OFP symptoms and their treatment seeking behaviour in Hong Kong. An exploratory qualitative interview study was conducted. Elderly people experiencing chronic OFP symptoms were invited to take part in an individual semi-structured interview. A total of 25 semi-structured interviews were performed for 25 participants. Pertinent issues relating to the treatment seeking behaviour emerged from the interviews, many of which were inter-related and overlapping. They were organized into three major themes: (i) Impact of chronic OFP on daily life; (ii) Personal knowledge and feeling of chronic OFP; (iii) Management of chronic OFP. The participants were found to have the intention to seek professional treatment, but there were barriers which discouraged them continuing to seek professional treatment. They also received complementary treatment for chronic OFP, such as acupuncture, massage and “chi kung”. Moreover, a wide range self-management techniques were also mentioned. On the other hand, those who did not seek professional treatment for the chronic OFP claimed that they had accepted or adapted to the pain as part of their lives. This qualitative study observed that elderly people affected by chronic OFP symptoms in Hong Kong sought many different ways to manage their pain including traditional and complementary approaches. The role of the dentist in dealing with chronic OFP is unclear. Multiple barriers exist to accessing care for chronic OFP. The findings may be used to inform future chronic OFP management strategies in Hong Kong.
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