Exploring the Pain Experience of Chinese Elderly Patients with Chronic Musculoskeletal Pain and Multimorbidity in Primary Care: A Qualitative Study using a Grounded Theory Approach
https://doi.org/10.22146/apfmj.47316 Winky Law(1), Deng Xue(2), Sibei Lin(3), Yeut Hoi Wong(4), Regina Sit(5*)
(1) The Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kong
(2) The Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kong
(3) The Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kong
(4) The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong
(5) The Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kong
(*) Corresponding Author
Abstract
Background: Chronic musculoskeletal pain (CMSP) is common in older people with multimorbidity (MM). Given the complex etiology of CMSP, it is worthwhile to explore the meanings attached to an individual and its interaction with MM. The study aimed to explore the meanings underneath the experience of CMSP and MM, to generate new insight on the support of pain management in the elderly population.
Methods: 20 eligible subjects aged between 65 and 80 were recruited through purposive sampling. Semi-structured in-depth interviews were conducted, with data transcript, coded and analyzed using grounded theory approach.
Results: Quotes evolved on the interaction between CMSP and MM, with participants expressed worries of pain may affect disease control. Three themes emerged which included the impact of CMSP on the physical and psychosocial well-being among the elderly with MM, the barriers to pain care in the community, and the perception and strategies on pain management.
Conclusions: Older people with CMSP and MM were suffering from a significant physical and psychological impact on their well-being. Self-care remains a preferred adjunct in pain management; support should be strengthened at individual (education) and community (urban development) level.
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Leveille, S.G., et al., Widespread Musculoskeletal Pain and the Progression of Disability in Older Disabled Women. Annals of Internal Medicine, 2001. 135(12): p. 1038-1046.
Scudds, R.J. and Robertson, J.M., Empirical evidence of the association between the presence of musculoskeletal pain and physical disability in community-dwelling senior citizens. Pain, 1998. 75(2): p. 229-235.
Briggs, A.M., et al., Musculoskeletal Health Conditions Represent a Global Threat to Healthy Aging: A Report for the 2015 World Health Organization World Report on Ageing and Health. The Gerontologist, 2016. 56(Suppl 2): p. S243-S255.
Andersson, H.I., et al., Impact of chronic pain on health care seeking, self care, and medication. Results from a population-based Swedish study. Journal of Epidemiology and Community Health, 1999. 53(8): p. 503-509.
Blyth, F.M., et al., Chronic pain and frequent use of health care. Pain, 2004. 111(1): p. 51-58.
Von Korff, M., et al., Chronic pain and use of ambulatory health care. Psychosomatic Medicine, 1991. 53(1): p. 61-79.
Barnett, K., et al., Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 2012. 380(9836): p. 37-43.
Slade, S.C., Molloy, E. and Keating, J.L., Listen to me, tell me': a qualitative study of partnership in care for people with non-specific chronic low back pain. Clinical Rehabilitation, 2009. 23(3): p. 270-280.
Osborn, M. and Smith, J.A., The personal experience of chronic benign lower back pain: An interpretative phenomenological analysis. British Journal of Health Psychology, 1998. 3(1): p. 65-83.
Crowe, M., et al., Self‐management and chronic low back pain: a qualitative study. Journal of advanced nursing, 2010. 66(7): p. 1478-1486.
Teh, C.F., et al., Older People's Experiences of Patient‐Centered Treatment for Chronic Pain: A Qualitative Study. Pain Medicine, 2009. 10(3): p. 521-530.
Lansbury, G., Chronic pain management: a qualitative study of elderly people's preferred coping strategies and barriers to management. Disability and rehabilitation, 2000. 22(1-2): p. 2-14.
Upshur, C.C., Bacigalupe, G. and Luckmann, R.,“They don't want anything to do with you”: Patient views of primary care management of chronic pain. Pain Medicine, 2010. 11(12): p. 1791-1798.
Corbin, J. and Strauss, A., Basics of qualitative research. Sage, 2014.
Parekh, A.K. and Barton, M.B., The challenge of multiple comorbidity for the us health care system. JAMA, 2010. 303(13): p. 1303-1304.
Raffaeli, W. and Arnaudo, E. ,Pain as a disease: an overview. Journal of pain research, 2017. 10: p. 2003-2008.
Krein, S.L., et al., The Effect of Chronic Pain on Diabetes Patients’ Self-Management. Diabetes Care, 2005. 28(1): p. 65-70.
Krein, S.L., et al., More Than a Pain in the Neck: How Discussing Chronic Pain Affects Hypertension Medication Intensification. Journal of General Internal Medicine, 2009. 24(8): p. 911-916.
Loeser, J.D. and Melzack, R., Pain: an overview. The Lancet, 1999. 353(9164): p. 1607-1609.
Andersen, L.N., et al., “Here we're all in the same boat”–a qualitative study of group based rehabilitation for sick‐listed citizens with chronic pain. Scandinavian journal of psychology, 2014. 55(4): p. 333-342.
Walker, J., Holloway, I. and Sofaer, B., In the system: the lived experience of chronic back pain from the perspectives of those seeking help from pain clinics. Pain, 1999. 80(3): p. 621-628.
McGillion, M.H., Lefort, S. and Stinson, J., Chronic pain self-management. Chronic pain: a health policy perspective. Weinheim (Germany): Wiley-VCH Verlag, 2008.
Buffel, T., Phillipson, C. and Scharf, T., Ageing in urban environments: Developing ‘age-friendly’cities. Critical Social Policy, 2012. 32(4): p. 597-617.
Kovačević, I., et al., Self-care of chronic musculoskeletal pain–experiences and attitudes of patients and health care providers. BMC musculoskeletal disorders, 2018. 19(1): p. 76.
Newman, S., Steed L. and Mulligan, K., Self-management interventions for chronic illness. The Lancet, 2004. 364(9444): p. 1523-1537.
DOI: https://doi.org/10.22146/apfmj.47316
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