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Coping with long-term pain after a stroke
Linköping University, Department of Medicine and Care. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Internal Medicine.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
2004 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 27, no 3, 215-225 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this qualitative study was to describe pain, coping strategies, and experienced outcome of coping with long-term pain conditions after a stroke. Forty-three participants were interviewed: 15 with central post-stroke pain (CPSP), 18 with nociceptive pain, and 10 with tension-type headache. Analysis of the data was by content analysis. Pain-related problems described were incomprehensibility regarding the pain, disturbed sleep, fatigue, diminished capacity, mood changes, and stress in relationships. Different coping strategies were used; the most common were making the pain comprehensible, planning of activities, taking medications, communicating, and distractions. Changing body position, making comparison, and enduring the pain were common in central or nociceptive pain, rest and relaxation in tension-type headache. Communicating their pain gave a feeling of perplexity and resignation. Satisfaction was reported in the cases of consideration shown by others. Pain after a stroke requires specialized knowledge in order to understand the patient's experiences and to enhance coping.

Place, publisher, year, edition, pages
2004. Vol. 27, no 3, 215-225 p.
Keyword [en]
Coping, central post-stroke pain (CPSP), nociceptive pain, headache, stroke
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-13720DOI: 10.1016/j.jpainsymman.2003.07.006OAI: oai:DiVA.org:liu-13720DiVA: diva2:21203
Available from: 2004-01-18 Created: 2004-01-18 Last updated: 2017-12-13
In thesis
1. Living with Long-Term Pain after a Stroke
Open this publication in new window or tab >>Living with Long-Term Pain after a Stroke
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this thesis was to classify and describe long-term pain two years after a stroke and to describe the experiences of pain, and the consequences it has on the persons’ lives. The studies were conducted from a multidimensional perspective on pain, combining quantitative and qualitative methods. Three types of long-term pain were classified and described among the 43 participants included, aged 33-82 years. These were central post-stroke pain, nociceptive, mainly shoulder pain, and tension-type headache. Pain onset, within one to six months in most of the cases was after discharge from the hospital. Continuous pain or pain almost every day was reported by nearly two-thirds. The pain was mostly described as troublesome, annoying and tiring in all pain groups. The rating of pain intensity revealed individual differences among the participants within the pain groups. In addition to long-term pain, the participants suffered several impairments and nearly half of them were dependent on others, and two-thirds on assistive devices. Several coping strategies were described, most often problem-focused. Their health-related quality of life was decreased, mostly related to their long-term pain and physical impairments. Their experiences of caring revealed the need of improvements in knowledge about longterm pain, attention and understanding among the professionals, and continuity in the contacts.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2003. 78 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 827
Keyword
stroke, central pain, chronic pain, neuropathic pain, nociceptive pain, shoulder, pain, tension-type headache, pain assessment, disability, activities of daily living, coping, health-related quality of life, mood, caring
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-5228 (URN)91-7373-518-3 (ISBN)
Public defence
2003-12-12, Aulan, Örbero universitet, Örebro, 13:00 (English)
Opponent
Supervisors
Note
On the day of the public defence the status of article III was: Accepted for publication and the status of article IV was: In press.Available from: 2004-01-18 Created: 2004-01-18 Last updated: 2012-01-25Bibliographically approved

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Ek, Anna-ChristinaAhlström, Gerd

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Department of Medicine and CareFaculty of Health SciencesNursing ScienceDepartment of Acute Internal Medicine
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