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"The acceptance" of living with cronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care.

"The acceptance" of living with cronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care.
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Pietilä Holmner E, Stålnacke BM, Enthoven P, Stenberg G,


Pietilä Holmner E, Stålnacke BM, Enthoven P, Stenberg G, (click to view)

Pietilä Holmner E, Stålnacke BM, Enthoven P, Stenberg G,

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Journal of rehabilitation medicine 2017 10 27() doi 10.2340/16501977-2286
Abstract
OBJECTIVE
To explore patient experiences of participating in multimodal pain rehabilitation in primary care.

SUBJECTS
Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation.

METHODS
The interviews were analysed using qualitative content analysis.

RESULTS
Analysis resulted in 4 categories: (i) from discredited towards obtaining redress; (ii) from uncertainty towards knowledge; (iii) from loneliness towards togetherness; and (iv) "acceptance of pain": an ongoing process. The results show that having obtained redress, to obtain knowledge about chronic pain, and to experience fellowship with others with the same condition were helpful in the acceptance process. However, there were patients who found it difficult to reconcile themselves with a life with chronic pain after multimodal rehabilitation. To find what was "wrong" and to have a medical diagnosis and cure were important.

CONCLUSION
Patients in primary care multimodal rehabilitation experience a complex, ongoing process of accepting chronic pain. Four important categories were described. These findings will help others to understand the experience and perspective of patients with chronic pain who engage in multimodal rehabilitation.

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