Perspectives of patients with depression and chronic pain about bone health after a fragility fracture: A qualitative study.
bone health
chronic pain
depression
fragility fracture
patient perspective
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:
02 2022
02 2022
Historique:
revised:
11
08
2021
received:
23
01
2021
accepted:
31
08
2021
pubmed:
29
9
2021
medline:
15
3
2022
entrez:
28
9
2021
Statut:
ppublish
Résumé
Compromised bone health is often associated with depression and chronic pain. To examine: (1) the experience of existing depression and chronic nonfracture pain in patients with a fragility fracture; and (2) the effects of the fracture on depression and pain. A phenomenological study guided by Giorgi's analytical procedures. Fracture patients who reported taking prescription medication for one or more comorbidities, excluding compromised bone health. Patients were interviewed within 6 weeks of their fracture, and 1 year later. Interview questions addressed the recent fracture and patients' experience with bone health and their other health conditions, such as depression and chronic pain, including the medications taken for these conditions. Twenty-six patients (5 men, 21 women) aged 45-84 years old with hip (n = 5) and nonhip (n = 21) fractures were recruited. Twenty-one participants reported depression and/or chronic nonfracture pain, of which seven reported having both depression and chronic pain. Two themes were consistent, based on our analysis: (1) depression and chronic pain overshadowed attention to bone health; and (2) the fracture exacerbated reported experiences of existing depression and chronic pain. Experiences with depression and pain take priority over bone health and may worsen as a result of the fracture. Health care providers treating fragility fractures might ask patients about depression and pain and take appropriate steps to address patients' more general emotional and physical state. A patient representative was involved in the study conception, data interpretation and manuscript writing.
Sections du résumé
BACKGROUND
Compromised bone health is often associated with depression and chronic pain.
OBJECTIVE
To examine: (1) the experience of existing depression and chronic nonfracture pain in patients with a fragility fracture; and (2) the effects of the fracture on depression and pain.
DESIGN
A phenomenological study guided by Giorgi's analytical procedures.
SETTING AND PARTICIPANTS
Fracture patients who reported taking prescription medication for one or more comorbidities, excluding compromised bone health.
MAIN VARIABLES STUDIED
Patients were interviewed within 6 weeks of their fracture, and 1 year later. Interview questions addressed the recent fracture and patients' experience with bone health and their other health conditions, such as depression and chronic pain, including the medications taken for these conditions.
RESULTS
Twenty-six patients (5 men, 21 women) aged 45-84 years old with hip (n = 5) and nonhip (n = 21) fractures were recruited. Twenty-one participants reported depression and/or chronic nonfracture pain, of which seven reported having both depression and chronic pain. Two themes were consistent, based on our analysis: (1) depression and chronic pain overshadowed attention to bone health; and (2) the fracture exacerbated reported experiences of existing depression and chronic pain.
CONCLUSION
Experiences with depression and pain take priority over bone health and may worsen as a result of the fracture. Health care providers treating fragility fractures might ask patients about depression and pain and take appropriate steps to address patients' more general emotional and physical state.
PATIENT CONTRIBUTION
A patient representative was involved in the study conception, data interpretation and manuscript writing.
Identifiants
pubmed: 34580957
doi: 10.1111/hex.13361
pmc: PMC8849261
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
177-190Subventions
Organisme : CIHR
ID : COB-136622
Pays : Canada
Informations de copyright
© 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.
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