Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates.
Introduction: Due to the difficulties encountered in the treatment process of patients with chronic pain, it is of utmost importance to involve patients themselves in their rehabilitation trajectory. Patient engagement can be obtained by motivating patients to select their own treatment goals. We hy...
| Publicado en: | Pain Practice Vol. 20; no. 3; pp. 247 - 255 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142138366&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142138366 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15307085 HYN jtl: Pain Practice issn: 15307085 maglogo: Y pubinfo: dt: Mar2020 vid: 20 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 142138366 142138366 145833500 142138366 10.1111/papr.12845 142138366 ppf: 247 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Goal Identification Before Spinal Cord Stimulation: A Qualitative Exploration in Potential Candidates. aug: au: Goudman, Lisa Bruzzo, Alessandra Sande, Jasper Moens, Maarten affil: Department of Neurosurgery, Universitair Ziekenhuis Brussel, Brussels, Belgium sug: subj: Chronic Pain Therapy Spinal Cord Electric Stimulation Methods Consumer Participation Goal-Setting Empowerment Treatment Outcomes Human Qualitative Studies Back Surgery Neck Surgery Interviews Audiorecording Coding International Classification of Functioning, Disability, and Health Pain Management Sleep Walking Sitting Automobile Driving Happiness Patient Attitudes Chronic Pain Rehabilitation ab: Introduction: Due to the difficulties encountered in the treatment process of patients with chronic pain, it is of utmost importance to involve patients themselves in their rehabilitation trajectory. Patient engagement can be obtained by motivating patients to select their own treatment goals. We hypothesize that applying goal setting, as a form of patient empowerment, in potential candidates for spinal cord stimulation (SCS) may further improve the outcome of SCS. As a first step in creating patient empowerment, patients' goals that they aim to achieve with SCS will be explored. Methods: Fifteen patients suffering from failed back/neck surgery syndrome and scheduled for SCS were interviewed in depth. All interviews were audio recorded and analyzed using in vivo coding. Afterwards, the International Classification of Functioning, Disability and Health framework was used to structure the responses of patients. Results: In the domain of bodily functions, all patients mentioned pain reduction, and 1 patient wanted to regain his previous sleep pattern. In the domain of activities, walking, sitting, driving a car, bending down, and picking up were the highest ranked goals. Regaining a social life was the highest ranked goal for participation. Eleven patients wanted to regain a feeling of happiness, and 5 patients wanted to focus on avoiding depression. Conclusion: The interviews revealed a broad spectrum of individual patients' goals, highlighting the need of individually targeted rehabilitation trajectories in the field of neuromodulation. Goal identification could entail the first step towards individualized medicine in the SCS trajectory. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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