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“I am accustomed to something in my body causing pain”: A qualitative study of knee replacement non-improvers’ stories of previous painful and stressful experiences

Navngivelse 4.0 Internasjonal © The Author(s) 2023. ;ISSN: 1471-2474 ;EISSN: 1471-2474 ;DOI: 10.1186/s12891-023-06423-9

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  • Nhan đề:
    “I am accustomed to something in my body causing pain”: A qualitative study of knee replacement non-improvers’ stories of previous painful and stressful experiences
  • Tác giả: Sellevold, Vibeke Bull ; Olsen, Unni ; Lindberg, Maren Falch ; Steindal, Simen Alexander ; Aamodt, Arild ; Lerdal, Anners ; Dihle, Alfhild
  • Chủ đề: Kvalitativ forskning ; Smerte
  • Mô tả: Background: Approximately 20% of total knee arthroplasty patients experience persistent postsurgical pain one year after surgery. No qualitative studies have explored previous stories of painful or stressful life experiences in patients experiencing persistent postsurgical pain after total knee replacement. This study aimed to explore stories of previous painful or stressful experiences in life in a cohort of patients that reported no improvement in pain one year after total knee arthroplasty. Methods: The study employed an explorative-descriptive qualitative design. Data was collected through semi-structured interviews five to seven years after surgery, with patients who reported no improvement in pain-related interference with walking 12 months after total knee replacement. The data was analyzed using qualitative content analysis. Results: The sample consisted of 13 women and 10 men with a median age of 67 years at the time of surgery. Prior to surgery, six reported having at least one chronic illness and 16 reported having two or more painful sites. Two main themes were identified in the data analysis: Painful years - the burden of living with long lasting pain, and the burden of living with psychological distress. Conclusions: The participants had severe long lasting knee pain as well as long lasting pain in other locations, in addition to experiences of psychologically stressful life events before surgery. Health personnel needs to address the experience and perception of pain and psychological struggles, and how it influences patients’ everyday life including sleeping routines, work- and family life as well as to identify possible vulnerability for persistent postsurgical pain. Identifying and assessing the challenges enables personalized care and support, such as advice on pain management, cognitive support, guided rehabilitation, and coping strategies both pre-and post-surgery. publishedVersion
  • Năm xuất bản: 2023
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 1471-2474
    EISSN: 1471-2474
    DOI: 10.1186/s12891-023-06423-9
  • Nguồn: Brage Consortium Repository
    GFMER Free Medical Journals
    PubMed Central
    Springer Nature OA/Free Journals
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals

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