Views of patients suffering from Failed Back Surgery Syndrome on their health and their ability to adapt to daily life and self-management: A qualitative exploration

The clinical outcomes of Spinal Cord Stimulation (SCS) therapy in patients with a Failed Back Surgery Syndrome (FBSS) is mostly done by standardized pain and quality of life measurements instruments and hardly account for personal feelings and needs as a basis for a patient-centred approach and shar...

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Veröffentlicht in:PloS one 2020-12, Vol.15 (12), p.e0243329-e0243329
Hauptverfasser: Hamm-Faber, Tanja E, Engels, Yvonne, Vissers, Kris C P, Henssen, Dylan J H A
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Engels, Yvonne
Vissers, Kris C P
Henssen, Dylan J H A
description The clinical outcomes of Spinal Cord Stimulation (SCS) therapy in patients with a Failed Back Surgery Syndrome (FBSS) is mostly done by standardized pain and quality of life measurements instruments and hardly account for personal feelings and needs as a basis for a patient-centred approach and shared decision making. The objective of this study is to explore perspectives on personal health and quality of life (QoL) in FBSS patients concerning their physical-, psychological and spiritual well-being prior to receiving an SCS system. We performed face-to-face, semi-structured, in-depth interviews to obtain descriptive and detailed data on personal health, guided by the Web diagram of Positive Health (Huber et al.) and a topic list. The following main topics were assessed qualitatively: 1) Bodily functioning, 2) Mental function and perception 3) Spiritual dimension, 4) Quality of life, 5) Social and societal participation and 6) Daily functioning. Seventeen FBSS patients (eight male, nine female) were included from April-November 2019 at the department of pain medicine in the Albert Schweitzer Hospital in the Netherlands. Median age 49 years; range 28 to 67 years, and patients underwent between one and five lumbar surgical operations. The duration of their chronic pain was between four and 22 years. After analyzing the interviews, three themes emerged: 1) dealing with chronic pain, 2) the current situation regarding aspects of positive health, and 3) future perspectives on health and quality of life. These themes arose from eleven categories and a hundred ninety codes. This qualitative study explored FBSS patients 'views on their health and the ability to adapt to daily life having complex chronic pain, and showed that patients experienced shortcomings in daily life within the six dimensions of the Web diagram of Positive Health before the SCS implant.
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After analyzing the interviews, three themes emerged: 1) dealing with chronic pain, 2) the current situation regarding aspects of positive health, and 3) future perspectives on health and quality of life. These themes arose from eleven categories and a hundred ninety codes. This qualitative study explored FBSS patients 'views on their health and the ability to adapt to daily life having complex chronic pain, and showed that patients experienced shortcomings in daily life within the six dimensions of the Web diagram of Positive Health before the SCS implant.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33284851</pmid><doi>10.1371/journal.pone.0243329</doi><tpages>e0243329</tpages><orcidid>https://orcid.org/0000-0001-9901-512X</orcidid><orcidid>https://orcid.org/0000-0002-2919-6356</orcidid><orcidid>https://orcid.org/0000-0002-7669-1018</orcidid><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living - psychology
Adaptation, Psychological
Adult
Aged
Anesthesiology
Back pain
Back surgery
Biology and Life Sciences
Chronic pain
Clinical decision making
Decision making
Failed Back Surgery Syndrome - physiopathology
Failed Back Surgery Syndrome - psychology
Female
Health aspects
Hospitals
Humans
Intervention
Interviews
Low back pain
Male
Medicine
Medicine and Health Sciences
Middle Aged
Outpatient care facilities
Pain
Palliative care
Patients
Professional ethics
Professionals
Qualitative research
Quality of life
Quality of Life - psychology
Research and Analysis Methods
Schweitzer, Albert
Self care (Health)
Social aspects
Society
Spinal cord
Surgery
Surveys
Webs
Well being
title Views of patients suffering from Failed Back Surgery Syndrome on their health and their ability to adapt to daily life and self-management: A qualitative exploration
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