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首页> 外文期刊>Pain management nursing: official journal of the American Society of Pain Management Nurses >The Need to Say More: A Qualitative Analysis of Added Free Text to Chronic Pain Patient Intake Packages
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The Need to Say More: A Qualitative Analysis of Added Free Text to Chronic Pain Patient Intake Packages

机译:需要说更多:对慢性疼痛患者摄入包中添加自由文本的定性分析

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? 2022 American Society for Pain Management NursingBackground: Many outpatient chronic pain clinics administer extensive patient intake questionnaires to understand patients’ pain and how it impacts their lives. At our institution's pain clinic, many patients include free text in these predominantly closed-ended questionnaires, but little is known about the content categories included in this free text. Aim: This study examined free text entries on chronic pain patient intake questionnaires. Method: We analyzed 270 occurrences of free text across 43 patient intake questionnaires of people living with chronic pain using a qualitative content analytic approach. Results: We identified two overarching thematic categories of free text: (1) what they say (characterizes the topic of the free text); and (2) why they say it (characterizes perceived limitations of the patient intake questionnaire format). We also documented the frequency highlighting how often themes and their associated sub-themes (detailed below) were indicated. Within the What they say category, three main themes emerged: (1) health (34.9; e.g., pain); (2) health service use (27.9; e.g., medication); and (3) psychosocial factors (20.9; e.g., relationships). Within the Why they say it category, four main themes emerged: (1) adding information (86.0; e.g., elaborates/contextualizes); (2) narrow response options (65.1; e.g., varies); (3) problems with the question (18.6; e.g., not applicable); and (4) response error (4.7; e.g., answers incorrectly/misinterprets question). Conclusions: People living with chronic pain appear motivated to add additional, unprompted information to their patient intake questionnaires. The results from this study may inform changes to chronic pain patient intake questionnaires which could facilitate improvements in chronic pain patient-health care provider communication.
机译:?2022 年美国疼痛管理护理学会背景:许多门诊慢性疼痛诊所会进行广泛的患者入院问卷调查,以了解患者的疼痛及其如何影响他们的生活。在我们机构的疼痛诊所,许多患者在这些主要是封闭式问卷中包含自由文本,但对这种自由文本中包含的内容类别知之甚少。目的:本研究检查了慢性疼痛患者摄入问卷上的自由文本条目。方法:我们使用定性内容分析方法分析了 43 份慢性疼痛患者入组问卷中的 270 次自由文本出现。结果:我们确定了自由文本的两个总体主题类别:(1)它们说了什么(表征了自由文本的主题);(2)他们为什么这么说(表征患者摄入问卷格式的感知局限性)。我们还记录了突出显示主题及其相关子主题(详见下文)的频率。在“他们说什么”类别中,出现了三个主要主题:(1)健康(34.9%,例如疼痛);(2)卫生服务使用(27.9%;例如药物);(3)社会心理因素(20.9%,例如人际关系)。在“他们为什么这么说”类别中,出现了四个主要主题:(1)添加信息(86.0%;例如,阐述/上下文化);(2)反应选项狭窄(65.1%;例如,变化);(3)问题(18.6%;例如,不适用);(4)回答错误(4.7%;例如,回答错误/误解问题)。结论:患有慢性疼痛的人似乎有动力在他们的患者摄入问卷中添加额外的、未经提示的信息。这项研究的结果可能会为慢性疼痛患者入院问卷的变化提供信息,这可以促进慢性疼痛患者与医疗保健提供者沟通的改善。

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