Level of readiness of chronic pain patients to practise active self-care.

Details

Serval ID
serval:BIB_6FF746384917
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Level of readiness of chronic pain patients to practise active self-care.
Journal
European journal of pain
Author(s)
Scala E., Decosterd I., Faouzi M., Burnand B., Rodondi P.Y.
ISSN
1532-2149 (Electronic)
ISSN-L
1090-3801
Publication state
Published
Issued date
11/2018
Peer-reviewed
Oui
Volume
22
Number
10
Pages
1800-1812
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Given the limited alleviation of chronic pain with pharmacological treatments, various nonpharmacological and self-care approaches are often proposed that require patients' motivation.
To evaluate the level of readiness (LOR) to practise different types of active self-care among chronic pain patients.
A quantitative cross-sectional survey was conducted among all chronic pain patients seeking care at the Pain Center of an academic hospital from June 2013 to March 2015. Sociodemographic data, pain characteristics, treatments and the LOR to practise active self-care were investigated.
Among the 1524 eligible patients, 639 (41.9%) were included. The median pain duration was 8.5 years (interquartile range = 7.5). Two-thirds (63.7%) of the patients reported high pain-related disability, and 64.6% had used opioids during the previous six months. Most patients had a high (44.1%) or moderate (24.6%) LOR to practise active self-care. Multivariable multinomial regression analysis showed that independent factors associated with a high LOR were a higher level of education (relative risk ratio (RRR) = 3.42, 95% confidence interval (CI): 1.90-6.13, p < 0.001), unemployed status due to medical condition (RRR = 2.92, 95% CI: 1.30-6.56, p = 0.009), the use of dietary supplements 'against pain' (RRR = 2.77, 95% CI: 1.52-5.04, p = 0.001) and neuropathic pain characteristics (RRR = 1.80, 95% CI: 1.40-3.12, p = 0.036). Older age was a factor predicting a lower LOR (RRR = 0.97, 95% CI: 0.94-0.99, p = 0.039). Long-term chronic pain, severe pain-related disability and the presence of a mood disorder were not associated with a lower LOR.
Most chronic pain patients, including those severely affected, indicated their readiness to practise active self-care methods.
Most chronic pain patients, even those severely affected, appeared to be ready to practise active self-care therapies and we believe that further studies are needed to investigate their impact on pain and quality of life.
Keywords
Adult, Aged, Chronic Pain/psychology, Chronic Pain/therapy, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Motivation, Pain Clinics, Patient Acceptance of Health Care, Self Care, Socioeconomic Factors, Surveys and Questionnaires, Young Adult
Pubmed
Web of science
Create date
31/07/2018 10:28
Last modification date
20/08/2019 14:28
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