The doctor–patient relationship and patient resilience in chronic pain: A qualitative approach to patients’ perspectives

Náfrádi, Lilla; Kostova, Zlatina; Nakamoto, Kent; Schulz, Peter

doi:10.1177/1742395317739961

Cited by 33 publications

(25 citation statements)

References 34 publications

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“…Patients with LHL point out the importance of feeling supported by their HCP as a motivating cue and facilitator of self-management and independence. Showing concern for and true interest in the patient is valued by patients [22,23,35,41,48,59,60] while HCP support is mentioned to be especially important to female patients describing their physician as “ genuinely caring.. [and that] she encourages me ” [23].…”

Section: Resultsmentioning

confidence: 99%

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Jager

Zeeuw

Tullius

et al. 2019

IJERPH

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Patient-centred care is tailored to the needs of patients and is necessary for better health outcomes, especially for individuals with limited health literacy (LHL). However, its implementation remains challenging. The key to effectively address patient-centred care is to include perspectives of patients with LHL within the curricula of (future) healthcare providers (HCP). This systematic review aimed to explore and synthesize evidence on the needs, experiences and preferences of patients with LHL and to inform an existing educational framework. We searched three databases: PsychInfo, Medline and Cinahl, and extracted 798 articles. One-hundred and three articles met the inclusion criteria. After data extraction and thematic synthesis, key themes were identified. Patients with LHL and chronic diseases encounter multiple problems in the care process, which are often related to a lack of person-centeredness. Patient perspectives were categorized into four key themes: (1) Support system; (2) Patient self-management; (3) Capacities of HCPs; (4) Barriers in healthcare systems. “Cultural sensitivity” and “eHealth” were identified as recurring themes. A set of learning outcomes for (future) HCPs was developed based on our findings. The perspectives of patients with LHL provided valuable input for a comprehensive and person-centred educational framework that can enhance the relevance and quality of education for (future) HCPs, and contribute to better person-centred care for patients with LHL.

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Section: Resultsmentioning

confidence: 99%

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Jager

Zeeuw

Tullius

et al. 2019

IJERPH

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“…More positive or negative emotional states were observed as well as the presence or absence of significant social and family ties. In addition, active interventions based on resilience and the patient-physician-patient relationship itself focused on patient-centered care may be resources to increase the resilience of women with CPP 36,37 . This article has intrinsic limitations to the method.…”

Section: Discussionmentioning

confidence: 99%

Chronic pelvic pain portraits: perceptions and beliefs of 80 women

Godoi¹,

Reis²,

Carvalho³

et al. 2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Because of its expressive prevalence and difficult clinical management, chronic pelvic pain is an important cause of morbidity, disability, and reduction of quality of life in women. Psychological factors influence the perception of pain and can interfere in the medical approach, justifying the application of projective tools, such as the pain portrait, previously not applied in women with chronic pelvic pain. The objective of this study was to obtain a greater clarification about the psychological component in the assessment of the chronic pelvic pain by applying the pain portrait in women with chronic pelvic pain. METHODS: This is an exploratory cross-sectional study conducted with 80 women with chronic pelvic pain. It was applied a pre-structured interview to collect sociodemographic, behavioral and clinical data. The pain portrait was applied to investigate the perceptions and beliefs about pain. The drawings were classified by content analysis and consensus among the authors. RESULTS: The average age of the participants was 39.40±9.21 years, average pain intensity of 7.03±2.58 and average pain duration of 8.84±7.65 years. The main portraits referred to negative feelings (37.50%), harmful instruments (33.75%) and geometric forms (25%), with a predominance of cold colors (63.70%). More than 60% of the participants put hope only in medical procedures, while 25% believed that there was no solution to their pain. CONCLUSION: Women represented their chronic pelvic pain in an affective way, with the use of few and cold colors. They considered themselves having a passive role in their treatment and related their pain to family losses.

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“…Y es que la relación médico-paciente cuando es correcta se considera un tipo de amistad, la amistad médica, en donde el médico aporta su saber e intención de ayuda y el paciente aporta su confianza y esperanza en el médico que lo atiende 9 . Una relación médico-paciente siguiendo los preceptos de la atención centrada en el paciente es un recurso importante que puede conducir a una mayor capacidad de recuperación y resiliencia del paciente 10 .…”

Section: Sobre La Figura Del Médicounclassified

Hombres (1950) de Fred Zinnemann: paraplejía y principales protagonistas en la rehabilitación de una discapacidad

Hernández-Yépez

2020

rmc

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The doctor–patient relationship and patient resilience in chronic pain: A qualitative approach to patients’ perspectives

Abstract: A doctor-patient relationship following the precepts of the patient-centered care is a significant resource that can lead to increased patient resilience. Thus, future interventions promoting patient resilience might consider addressing the doctor-patient relationship.

Cited by 33 publications

References 34 publications

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Chronic pelvic pain portraits: perceptions and beliefs of 80 women

Hombres (1950) de Fred Zinnemann: paraplejía y principales protagonistas en la rehabilitación de una discapacidad

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