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Exploring patients’ experiences of the whiplash injury-recovery process A meta-synthesis

Söderlund, Anne, (författare)
Mälardalens högskola
Nordgren, Lena, Docent, 1963- (författare)
Uppsala universitet, Centrum för klinisk forskning i Sörmland (CKFD), Uppsala universitet, Vårdvetenskap
Sterling, Michele, (författare)
University of Queensland, Australia
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Stålnacke, Britt-Marie, (författare)
Umeå universitet
Stalnacke, Britt-Marie, (författare)
Umea Univ, Dept Community Med & Rehabil, Rehabil Med, Umea, Sweden.;Karolinska Inst, Dept Clin Sci, Stockholm, Sweden.;Danderyd Hosp, Dept Rehabil Med, Stockholm, Sweden.
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm. Centrum för klinisk forskning i Sörmland (CKFD). (creator_code:org_t)
Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska fakulteten. Institutionen för folkhälso- och vårdvetenskap. Vårdvetenskap. (creator_code:org_t)
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Mälardalens högskola Akademin för hälsa, vård och välfärd. Hälsa och välfärd. (creator_code:org_t)
Umeå universitet Medicinska fakulteten. Institutionen för samhällsmedicin och rehabilitering. Rehabiliteringsmedicin. (creator_code:org_t)
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2018
Engelska.
Ingår i: Journal of Pain Research. - 1178-7090 .- 1178-7090. ; 11, s. 1263-1271
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  • Forskningsöversikt (övrigt vetenskapligt)
Abstract Ämnesord
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  • Purpose: The aim of this study was to conduct a meta-synthesis to analyze qualitative research findings and thereby understand patients’ experiences of whiplash-associated disorders (WAD) and the injury-recovery process. Materials and methods: A qualitative meta-synthesis, which is an interpretive integration of existing qualitative findings, was performed. The databases PubMed, PsychINFO, Scopus, and Web of Science were searched. The Critical Assessment Skills Programme was used to assess the quality of the included studies. Results: Four studies were included. The synthesis resulted in several codes, 6 categories, and 3 themes (distancing from normalcy, self-efficacy in controlling the life situation after the injury, and readjustment and acceptance) that described the participants’ pain beliefs, their WAD-related life situation and their future expectations and acceptance. Changes in self-image were difficult to cope with and likely led to perceived stigmatization. Struggling with feelings of loss of control appeared to lead to low confidence and insecurity. Focusing on increasing knowledge and understanding the pain and its consequences were believed to lead to better strategies for handling the situation. Furthermore, recapturing life roles, including returning to work, was challenging, but an optimistic outlook reinforced symptom improvements and contributed to feelings of happiness. Conclusion: The results of the present study provide a comprehensive understanding of patients’ complex, multifaceted experiences of WAD, and the injury-recovery process. The findings can guide us in the development of new ways to evaluate and manage WAD. The results also indicate that a more patient-centered approach is needed to determine the depth and breadth of each patient’s problems.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Physiotherapy (hsv//eng)

Nyckelord

whiplash-associated disorders
control
self-efficacy
happiness
life situation

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