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“it’s like listening to the radio with a little interference” : a qualitative study describing pain management among patients with psoriatic arthritis
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- Brodin, Nina (author)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Hlth Care Sci & Soc, Div Physiotherapy, S-14183 Huddinge, Sweden.;Danderyd Hosp, Dept Orthopaed, Div Physiotherapy, S-18288 Danderyd, Sweden.
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- Sundström, Björn, 1968- (author)
- Uppsala universitet,Umeå universitet,Reumatologi,Centre for Research and Development, Uppsala University, Gävle, Sweden,Centrum för klinisk forskning, Gävleborg,Umeå Univ, Dept Publ Hlth & Clin Med, Unit Rheumatol, S-90187 Umeå, Sweden.,Uppsala Univ, Sweden; Umea Univ, Sweden
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- Björk, Mathilda (author)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Karolinska Institutet Karolinska Inst, Dept Neurobiol Hlth Care Sci & Soc, Div Physiotherapy, S-14183 Huddinge, Sweden;Danderyd Hosp, Dept Orthopaed, Div Physiotherapy, S-18288 Danderyd, Sweden. (creator_code:org_t)
- MDPI, 2023
- 2023
- English.
- In: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 12:23
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Pain is one of the most important areas to focus on in the assessment and treatment of psoriatic arthritis (PsA), and treatment should be individualized and based on the needs of the patient. Therefore, our aim was to explore and describe the management of pain among patients with PsA. We conducted semi-structured interviews with 11 participants with PsA (3 men and 8 women) and used qualitative content analysis to analyze the text. The results showed a main overarching theme of meaning and three subthemes. They were ‘Taking charge of life despite the constant murmur of pain’ through ‘Sorting out vulnerability’, ‘Reaching acceptance and engagement’, and ‘Directing focus to change’. Nine categories further described the components of pain management: ‘face uncertainty for the future, ‘consider restrictions’, ‘illuminate the invisible’, ‘increase awareness’, ‘find a permissive environment and social support’, ‘enhance inner endurance’, ‘reformulate emotions and thoughts’, ‘use distracting activities’, and ‘adjust activities’. The action components of pain management interpreted from a theoretical perspective highlight the importance for the patients of attaining the satisfaction of three basic psychological needs, i.e., competence, autonomy, and relatedness. Health professionals therefore need to increase the skills required for needs-supportive behaviors as well as facilitating spouse and peer support in the management of pain in PsA.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- pain
- psoriatic arthritis
- qualitative research
- rehabilitation
Publication and Content Type
- ref (subject category)
- art (subject category)
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