2019, Number 3
<< Back Next >>
Rev Biomed 2019; 30 (3)
Narrative of Southeastern Mexican patients with ostearthritis: A focus group interview study
Gómez-de-Regil L, Estrella-Castillo D, Rubio-Zapata H, Álvarez-Nemegyei J
Language: English
References: 30
Page: 124-130
PDF size: 222.92 Kb.
ABSTRACT
Introduction. Narrative Medicine serves to accompanying the patient
through the experience of his/her illness, listening to his/her story in a
simplified therapeutic role. The aim of this interview-based study was to
explore in a group of patients with OA from
South-Eastern Mexico the
content of their narratives regarding their illness.
Methods. Eight patients with OA participated in five focus group interviews
that were tape recorded and transcribed verbatim. The narrative was analyzed
considering the number of mentions and theoretical saturation with three
dimensions: pain, stiffness and functional capacity.
Results. Pain was associated with quality of life, religiosity and social
interactions. Regarding stiffness and functional capacity, participants
expressed the appraisal of illness as an inevitable deterioration and a rather
passive coping response.
Conclusions. Narrative-based evidence on how patients with OA perceive
and manage their illness underscore health as a concept where the physical
and psychological dimensions are in an ongoing interaction; thus, calling
for more sensitivity from the medical community and for a comprehensive
interdisciplinary treatment.
REFERENCES
Tanchev P. Osteoarthritis or osteoarthrosis: Commentary on misuse of terms. Reconstr Rev. 2017 Apr;7(1):45–6. doi:10.15438/rr.7.1.178
Atkinson MH. Osteoarthrosis. Can Fam Physician. 1984 Jul;30:1503–7. http://www.ncbi.nlm.nih.gov/ pubmed/21278961
Kohler F. Special edition: The International Classification of Functioning, Disability and Health (ICF). Prosthet Orthot Int. 2011 Sep;35(3):259–61. doi: 10.1177/0309364611420995.
Messier SP, Gutekunst DJ, Davis C, DeVita P. Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis. Arthritis Rheum. 2005 Jul;52(7):2026–32. doi:10.1002/art.21139
Gregory PJ, Fellner C. Dietary supplements as diseasemodifying treatments in osteoarthritis: A critical appraisal. P T. 2014 Jun;39(6):436–52. http://www.ncbi. nlm.nih.gov/pubmed/25050057
Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: Estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014 Jul;73(7):1323–30. doi:10.1136/ annrheumdis-2013-204763
Pelaez-Ballestas I, Sanin LH, Moreno-Montoya J, Alvarez-Nemegyei J, Burgos-Vargas R, Garza-Elizondo M, et al. Epidemiology of the rheumatic diseases in Mexico. A study of 5 regions based on the COPCORD methodology. J Rheumatol Suppl. 2011 Jan;86:3–8. doi:10.3899/jrheum.100951
Alvarez-Nemegyei J, Pelaez-Ballestas I, Sanin LH, Cardiel MH, Ramirez-Angulo A, Goycochea-Robles M-V. Prevalence of musculoskeletal pain and rheumatic diseases in the Southeastern region of Mexico. A COPCORD-based community survey. J Rheumatol Suppl. 2011 Jan;86:21–5. doi:10.3899/jrheum.100954
Egnew TR. Suffering, meaning, and healing: challenges of contemporary medicine. Ann Fam Med. 2009;7(2):170–5. doi:10.1370/afm.943
Fioretti C, Mazzocco K, Riva S, Oliveri S, Masiero M, Pravettoni G. Research studies on patients’ illness experience using the Narrative Medicine approach: A systematic review. BMJ Open. 2016 Jul;6(7):e011220. doi:10.1136/bmjopen-2016-011220
Estrella Castillo DF, López Manrique JA, Arcila Novelo RR. Medición de la calidad de vida en pacientes mexicanos con osteoartrosis. Rev Mex Med Física y Rehabil. 2014;26(1):5–11. http://www.medigraphic. com/cgi-bin/new/resumen.cgi?IDARTICULO=51674
Salaffi F, Ciapetti A, Carotti M. The sources of pain in osteoarthritis: A pathophysiological review. Reumatismo. 2014 Jun;66(1):57–71. doi:10.4081/ reumatismo.2014.766.
Perrot S. Osteoarthritis pain. Best Pract Res Clin Rheumatol. 2015 Feb;29(1):90–7. doi:10.1016/j. berh.2015.04.017
Zwolak P. Quality of life versus joint stiffness and pains upon movement in lower limb osteoarthritis. Pol Merkur Lekarski. 2014 Feb;36(212):92–5. http://www.ncbi.nlm. nih.gov/pubmed/24720103
Jakobsson U, Hallberg IR. Pain and quality of life among older people with rheumatoid arthritis and/ or osteoarthritis: A literature review. J Clin Nurs. 2002 Jul;11(4):430–43. http://www.ncbi.nlm.nih.gov/ pubmed/12100639
Jensen MP, Chodroff MJ, Dworkin RH. The impact of neuropathic pain on health-related quality of life: Review and implications. Neurology. 2007 Apr;68(15):1178–82. doi: 10.1212/01.wnl.0000259085.61898.9e
Dedeli O, Kaptan G. Spirituality and religion in pain and pain management. Heal Psychol Res. 2013 Sep;1(3):e29. doi:10.4081/hpr.2013.e29
Jegindø E-ME, Vase L, Skewes JC, Terkelsen AJ, Hansen J, Geertz AW, et al. Expectations contribute to reduced pain levels during prayer in highly religious participants. J Behav Med. 2013 Aug;36(4):413–26. doi:10.1007/ s10865-012-9438-9
Puchalski CM, Kilpatrick SD, McCullough ME, Larson DB. A systematic review of spiritual and religious variables in palliative medicine. Palliat Support Care. 2003 Mar;1(1):7–13. http://www.ncbi.nlm.nih.gov/ pubmed/16594283
Sherman AM. Social relations and depressive symptoms in older adults with knee osteoarthritis. Soc Sci Med. 2003 Jan;56(2):247–57. doi:10.1016/S0277-9536(02)00023-0
Gignac MAM, Backman CL, Davis AM, Lacaille D, Mattison CA, Montie P, et al. Understanding social role participation: What matters to people with arthritis? J Rheumatol. 2008 Aug;35(8):1655–63. http://www.ncbi. nlm.nih.gov/pubmed/18597401
Paskins Z, Sanders T, Hassell AB. Comparison of patient experiences of the osteoarthritis consultation with GP attitudes and beliefs to OA: A narrative review. BMC Fam Pract. 2014 Dec;15(1):46. doi:10.1186/1471-2296- 15-46
Yan J-H, Gu W-J, Sun J, Zhang W-X, Li B-W, Pan L. Efficacy of Tai Chi on pain, stiffness and function in patients with osteoarthritis: A meta-analysis. PLoS One. 2013 Apr 19;8(4):e61672. doi:10.1371/journal. pone.0061672
Lauche R, Cramer H, Dobos G, Langhorst J, Schmidt S. A systematic review and meta-analysis of mindfulnessbased stress reduction for the fibromyalgia syndrome. J Psychosom Res. 2013 Dec;75(6):500–10. doi:10.1016/j. jpsychores.2013.10.010
Kang JW, Lee MS, Posadzki P, Ernst E. Tai chi for the treatment of osteoarthritis: A systematic review and meta-analysis. BMJ Open. 2011 Sep;1(1):e000035– e000035. doi:10.1136/bmjopen-2010-000035
Lee MS, Pittler MH, Ernst E. Tai chi for osteoarthritis: A systematic review. Clin Rheumatol. 2008 Feb;27(2):211– 8. doi:10.1007/s10067-007-0700-4
Nagarathna R, Nagendra H, Ebnezar J, Yogitha B. Effect of integrated yoga therapy on pain, morning stiffness and anxiety in osteoarthritis of the knee joint: A randomized control study. Int J Yoga. 2012;5(1):28. doi:10.4103/0973-6131.91708.
Cheung C, Park J, Wyman JF. Effects of yoga on symptoms, physical function, and psychosocial outcomes in adults with osteoarthritis. Am J Phys Med Rehabil. 2016 Feb;95(2):139–51. doi: 10.1097/ PHM.0000000000000408
Selfe TK, Innes KE. Mind-body therapies and osteoarthritis of the knee. Curr Rheumatol Rev. 2009 Nov;5(4):204–11. http://www.ncbi.nlm.nih.gov/ pubmed/21151770
Hurley M, Dickson K, Hallett R, Grant R, Hauari H, Walsh N, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: A mixed methods review. Cochrane Database Syst Rev. 2018 Apr;4:CD010842. doi: 10.1002/14651858.