Categories
Change Password!
Reset Password!
For
the better management of healthcare providers must take low self-efficacy and
depression into account before giving care to patients suffering from chronic
pain with neuropathic characteristics.
The findings of a recent cross-sectional survey
recommend collaborative decision making for healthcare professionals and
patients to support self-management of chronic pain. Also, for supporting
self-management by patients with neuropathic characteristics, addressing low
self-efficacy and depression issues may hold vital importance.
Chronic pain can be defined as the pain that persists for more than 3 months. It significantly impacts the physical, mental, emotional and spiritual level of the individual suffering from it. Chronic pain requires affected individuals to self-manage their health.
The present study included community-dwelling Canadians and
compared barriers and facilitators of self-management in two groups of people:
Group 1 included chronic pain individuals with neuropathic characteristics and
group 2 included chronic pain individuals without neuropathic characteristics.
There was a random selection of participants who reported
chronic pain (n = 710). The neuropathic characteristics were evaluated by
Self-Report Leeds Assessment of Neuropathic Symptoms and Signs. Barriers and
facilitators of self-management were 1) self-efficacy (Pain Self-Efficacy
Questionnaire); 2) depression (Patient Health Questionnaire 9); 3) social
support and relationship with health care provider (Chronic Illness Resources
Survey); 4) pain intensity (numeric rating scale). Participants were asked to
report factors which they felt made pain management easier or harder. Statistical
analyses like frequency, percent, relative risk (RR), and 95% confidence
intervals (CI) were used.
Self-confidence was found to be the most commonly observed
self-management barrier/facilitator to manage pain by both groups. But, the
participants with neuropathic characteristics (n = 188) were more likely to
report low self-efficacy than those without neuropathic characteristics.
Participants with neuropathic characteristics were also more likely to screen
positive for depression. No intergroup differences were observed social support
and relationship with the health professional; however, 40.8% patients believed
that they were not fairly involved in decision making and goal setting related
to their care.
Pain Management Nursing
What Are the Barriers and Facilitators for the Self-Management of Chronic Pain with and without Neuropathic Characteristics?
Elizabeth G. Mann et al.
Comments (0)