Patients’ and primary healthcare professionals’ perceptions regarding chronic low back pain and its management in Spain: a qualitative study
Purpose: This study aimed to explore and compare the perceptions of patients and primary healthcare professionals regarding the management of chronic low back pain. Methods: Qualitative study using 26 semi-structured individual interviews, and one discussion group, carried out in primary care in Lle...
| Autores: | , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/4500 |
| Acceso en línea: | http://hdl.handle.net/20.500.12328/4500 https://dx.doi.org/10.1080/09638288.2019.1705923 |
| Access Level: | acceso abierto |
| Palabra clave: | Mal d'esquena Dolor crònic Atenció primària de salut Gestió del dolor Investigació qualitativa Espanya Dolor lumbar Dolor crónico Atención primaria Manejo del dolor Investigación cualitativa España Low back pain Chronic pain Primary health care Pain management Qualitative research Spain 61 |
| Sumario: | Purpose: This study aimed to explore and compare the perceptions of patients and primary healthcare professionals regarding the management of chronic low back pain. Methods: Qualitative study using 26 semi-structured individual interviews, and one discussion group, carried out in primary care in Lleida, Spain. Results: Patients and primary healthcare professionals both had assumptions pertaining to: (1) the diagnosis and meaning of chronic low back pain, (2) expectations regarding treatment for pain reduction, and (3) communication between primary healthcare professionals and patients with chronic low back pain. Results suggest a mutual dissatisfaction with the diagnosis of chronic low back pain and a lack of understanding between primary healthcare professionals and patients. Some contradictions between them were also noted: the patients wanted quick solutions to reduce their pain, but the primary healthcare professionals required an accurate etiology to prescribe treatment, and the patients did not always follow the primary healthcare professionals’ recommendations. Conclusions: Diagnosing and treating chronic low back pain is compromised due to differing expectations and the communication barriers that exist between healthcare professionals and their patients. Primary healthcare professionals should be aware of the power of their explanations and recommendations to patients. Implications for Rehabilitation: Primary healthcare professionals should negotiate treatments with patients and adapt them to their individual needs, according to a Patient-Centered approach and the biopsychosocial model of pain. Primary healthcare professionals should explain to patients the underlying mechanisms and multifactorial nature of chronic low back pain. Primary healthcare professional-patient communication needs to be improved to help patients to better understand their chronic condition. The healthcare professionals in Spain should be more trained into the (bio)psychosocial model of long-term pain, stop searching for non-evident pathologies and change their biomedical beliefs. |
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