Patients’ Expectations on Spinal Cord Stimulation for Failed Back Surgery Syndrome: A Qualitative Exploration.

Abstract: Background: Spinal cord stimulation (SCS) is an effective therapy to reduce pain in patients who suffer from failed back surgery syndrome (FBSS). In order to inform patients optimally prior to this therapy, knowing their expectations is crucial. Methods: Thirteen patients suffering from FB...

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Publicado en:Pain Practice Vol. 18; no. 4; pp. 452 - 463
Autores principales: Henssen, Dylan J. H. A., Scheepers, Nicole, Kurt, Erkan, Arnts, Inge, Steegers, Monique, Vissers, Kris, van Dongen, Robert, Engels, Yvonne
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      place: Malden, Massachusetts
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        atl: Patients’ Expectations on Spinal Cord Stimulation for Failed Back Surgery Syndrome: A Qualitative Exploration.
      aug:
        au:
          Henssen, Dylan J. H. A.
          Scheepers, Nicole
          Kurt, Erkan
          Arnts, Inge
          Steegers, Monique
          Vissers, Kris
          van Dongen, Robert
          Engels, Yvonne
        affil: Department of Anatomy, Donders Institute for Brain, Cognition & Behavior, Radboud University Medical Center, Nijmegen, The Netherlands
      sug:
        subj:
          Patient Attitudes
          Spinal Cord Stimulation Education
          Failed Back Surgery Syndrome
          Human
          Qualitative Studies
          Semi-Structured Interview
          Home Environment
          Health Facility Environment
          Content Analysis
          Brief Pain Inventory
          Questionnaires
          Psychological Well-Being
          Physical Activity
          Constraint-Induced Therapy
          Quality of Life
          Pain Management
          Cultural Diversity
          Patient Education
      ab: Abstract: Background: Spinal cord stimulation (SCS) is an effective therapy to reduce pain in patients who suffer from failed back surgery syndrome (FBSS). In order to inform patients optimally prior to this therapy, knowing their expectations is crucial. Methods: Thirteen patients suffering from FBSS and scheduled for SCS were interviewed using a semistructured protocol. Patients were interviewed either at home or at their treating hospital. Data from these interviews were analyzed using directed content analysis. In addition to the qualitative interviews, an adjusted Brief Pain Inventory questionnaire was used to quantify expectations. Results: The expectations of patients with regard to SCS could be subdivided into 13 categories, which could be grouped into 6 general themes: (1) physical well‐being, (2) social well‐being, (3) material well‐being, (4) emotional well‐being, (5) development and activity, and (6) constraints of the procedure of SCS. These findings confirm patients’ expectations about the improvement of their quality of life by SCS for FBSS. This indicates that assessing pain relief is not enough to adequately evaluate the effects of SCS. The small diversity within the studied population and the lack of patient‐to‐patient education are 2 possible limitations of this study. Conclusions: To improve education for patients prior to SCS surgery and to evaluate the effects of SCS, a multidimensional approach needs to be implemented. Possible disadvantages of SCS need to be discussed prior to the treatment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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