Back pain - a feeling of being mistrusted and lack of recognition: a qualitative study

详细信息    查看全文

• 作者：Janne B. Damsgaard^a ; ^f ; ^{jannedamsgaard@webspeed.dk" class="auth_mail" title="E-mail the corresponding author} (Nursing ; PhD Student) ; Annelise Norlyk ; PhD^b (Associate Professor) ; Lene B. Jø ; rgensen ; PhD^c ; ^d (Assistant Professor ; Head of Interdisciplinary Research Unit) ; Regner Birkelund ; PhD ; Dr. Phil.^e (Professor)
• 关键词：Back pain ; Spinal fusion surgery ; Being mistrusted ; Invisibility ; Psychosocial ; Communication ; Recognition
• 刊名：International Journal of Orthopaedic and Trauma Nursing
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：21
• 期：Complete
• 页码：11-20
• 全文大小：363 K

文摘

Research shows that suffering from back pain can be associated with great personal costs and that patients undergoing spinal fusion surgery experience particularly problematic illness trajectories and struggle with existential challenges related to living with pain for many years.

Aim

This study aims to explore how patients with back pain experience their illness trajectories and their interaction with the healthcare system.

Method

Data were collected through observations and semi-structured interviews. Data analysis was based on the French philosopher Paul Ricoeur's phenomenological hermeneutic theory of interpretation.

Findings

Before the spinal fusion surgery, back pain had a great negative influence on the patients' everyday lives. Insinuations of being a hypochondriac and having to hide their pain to avoid becoming a burden caused insecurity. Several patients experienced pain relieving effect when talking about their experiences. However, they felt that the healthcare professionals were pressed for time and were mainly interested in their physiological problems. Patients were left with a feeling of being mistrusted, powerlessness, insecurity and loss of identity.

Conclusion

Lifeworld-experiences are not given priority when dealing with patients suffering from back pain. To accommodate individual needs, aspects related to the patients' experiences of their illness trajectories should be taken into account regarding patient communication.