Living with opioids: A qualitative study with patients with chronic low back pain.
biomedicalization
chronic pain
experience
low back pain
opioid
treatment
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
05
12
2019
revised:
16
05
2020
accepted:
19
05
2020
pubmed:
20
6
2020
medline:
19
8
2021
entrez:
20
6
2020
Statut:
ppublish
Résumé
Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects. To explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids. Qualitative study. We conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment. The interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework. We developed one overarching theme-Living with opioids: dependence and autonomy while seeking relief-and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix. The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients. Patients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.
Sections du résumé
BACKGROUND
Opioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects.
OBJECTIVE
To explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids.
DESIGN
Qualitative study.
SETTING AND PARTICIPANTS
We conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment.
METHODS
The interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework.
MAIN RESULTS
We developed one overarching theme-Living with opioids: dependence and autonomy while seeking relief-and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix.
DISCUSSION
The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients.
CONCLUSIONS
Patients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.
Identifiants
pubmed: 32558064
doi: 10.1111/hex.13089
pmc: PMC7696128
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1118-1128Informations de copyright
© 2020 The Authors Health Expectations published by John Wiley & Sons Ltd.
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