Journal article 1466 views
Living with chronic low back pain: a metasynthesis of qualitative research
S Snelgrove,
C Liossi,
Sherrill Snelgrove
Chronic Illness
Swansea University Author: Sherrill Snelgrove
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DOI (Published version): 10.1177/1742395313476901
Abstract
ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients’ experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight...
| Published in: | Chronic Illness |
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| ISSN: | 1742-3953 1745-9206 |
| Published: |
2013
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa14576 |
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| Abstract: |
ObjectivesThe purpose of this Qualitative Metasynthesis (QMS) is to articulate the knowledge gained from a review of qualitative studies of patients’ experiences of Chronic Low Back Pain (CLBP).MethodsMeta-ethnographic methodology guided the review of thirty-three articles representing twenty eight studies published in English in peer-reviewed journals between 2000 –2012. A systematic comparison of the main themes from each study was conducted and “synthesised” to create super-ordinate themes. ResultsThree overarching interrelated themes were identified: The impact of CLBP on self; Relationships with significant others that incorporated two streams: Health Professionals and the organisation of Care and relationships with family and friends; Coping with CLBP. Coping strategies were predominantly physical therapies, medication, and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups.DiscussionThe review substantiates CLBP as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, depression, feelings of premature aging, fear of the future. Future research should address the paucity of longitudinal studies, CLBP within a paradigm of loss and issues of ethnicity, gender, ageing. |
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| Keywords: |
Chronic low back pain, qualitative metasynthesis |
| College: |
Faculty of Medicine, Health and Life Sciences |