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Patients' experiences of chronic non-malignant musculoskeletal pain : a qualitative systematic review
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Toye, Francine, Seers, Kate, Allcock, Nick, Briggs, Michelle, Carr, Eloise, Andrews, JoyAnn and Barker, Karen, MSc (2013) Patients' experiences of chronic non-malignant musculoskeletal pain : a qualitative systematic review. British Journal of General Practice, Volume 63 (Number 617). pp. 829-841. doi:10.3399/bjgp13X675412 ISSN 0960-1643.
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Official URL: http://dx.doi.org/10.3399/bjgp13X675412
Abstract
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.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of General Practice | ||||||||
| Publisher: | Royal College of General Practitioners | ||||||||
| ISSN: | 0960-1643 | ||||||||
| Official Date: | 1 December 2013 | ||||||||
| Dates: |
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| Volume: | Volume 63 | ||||||||
| Number: | Number 617 | ||||||||
| Page Range: | pp. 829-841 | ||||||||
| DOI: | 10.3399/bjgp13X675412 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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