Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review.
BACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-m...
| Autores principales: | , , , , , , |
|---|---|
| Formato: | Journal article |
| Lenguaje: | English |
| Publicado: |
2013
|
| _version_ | 1826264484392468480 |
|---|---|
| author | Toye, F Seers, K Allcock, N Briggs, M Carr, E Andrews, J Barker, K |
| author_facet | Toye, F Seers, K Allcock, N Briggs, M Carr, E Andrews, J Barker, K |
| author_sort | Toye, F |
| collection | OXFORD |
| description | BACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND SETTING: Synthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC). METHOD: Databases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion. RESULTS: Out of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain. CONCLUSIONS: This review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain. |
| first_indexed | 2024-03-06T20:08:33Z |
| format | Journal article |
| id | oxford-uuid:29bf7c5f-e6fb-426e-b8f4-96d2dd34f613 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:08:33Z |
| publishDate | 2013 |
| record_format | dspace |
| spelling | oxford-uuid:29bf7c5f-e6fb-426e-b8f4-96d2dd34f6132022-03-26T12:20:59ZPatients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:29bf7c5f-e6fb-426e-b8f4-96d2dd34f613EnglishSymplectic Elements at Oxford2013Toye, FSeers, KAllcock, NBriggs, MCarr, EAndrews, JBarker, KBACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND SETTING: Synthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC). METHOD: Databases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion. RESULTS: Out of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain. CONCLUSIONS: This review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain. |
| spellingShingle | Toye, F Seers, K Allcock, N Briggs, M Carr, E Andrews, J Barker, K Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title | Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title_full | Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title_fullStr | Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title_full_unstemmed | Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title_short | Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. |
| title_sort | patients experiences of chronic non malignant musculoskeletal pain a qualitative systematic review |
| work_keys_str_mv | AT toyef patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT seersk patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT allcockn patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT briggsm patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT carre patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT andrewsj patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview AT barkerk patientsexperiencesofchronicnonmalignantmusculoskeletalpainaqualitativesystematicreview |