Nurses’ Perceptions of Patient Fibromyalgia Illness Experiences after Performing Group-Based Problem-Solving Therapy: A Qualitative Research Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Sample
2.2. Data Collection
2.3. Data Analysis and Rigor
3. Results
3.1. Theme 1: How Stress and Negative Emotions Can Affect the Body
3.1.1. It Was Common for Nurses to Find the Presence of a “Specific Trigger” (Stressful Event) for FM Symptoms in Their Patients
3.1.2. Some FM Patients Did Not Report a Specific Trigger but Did Report That They Have Had to Endure Harsh Conditions throughout Their Lives
3.1.3. Patients Consciously/Unconsciously Highlight the Importance of Stress in FM
3.1.4. Patients Were Afraid to Express What They Feel
3.1.5. Gradually the Patients Begin to Discuss the Role Played by the Mind and How Their Emotional State Influences Their Pain
3.2. Fulfilling Expected Gender Roles
3.2.1. All Patients Put a Very High Limit on Their Daily Activities Because They Have to Assume Their Assigned Gender Role
3.2.2. The Patients Had Difficulty in Facing Problems
3.3. Theme 3: Lack of Support from the Family
3.3.1. Some of Them Showed Some Support
3.3.2. In General, They Showed Little Support
3.4. Abuse
3.4.1. The Patients Experienced Physical, Psychological, and Economical Abuse
3.4.2. Some Patients Have Found Ways to Manage and Protect Themselves from Abuse
4. Discussion
Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Nurses | Age | Years in the Profession | Years in the Clinical Area | Workplace | Academic Level |
---|---|---|---|---|---|
Nurse 01 | 47 | 25 | 21 | University | PhD |
Nurse 02 | 57 | 35 | 8 | University | MSc |
Nurse 03 | 56 | 34 | 14 | University health center | MSc |
Nurse 04 | 40 | 18 | 18 | University Mental health centre | MSc |
Nurse 05 | 54 | 32 | 12 | University | MSc |
Nurse 06 | 55 | 33 | 13 | University | PhD |
Nurse 07 | 55 | 33 | 10 | University | PhD |
Nurse 08 | 21 | 0 | 0 | University | Student |
Socio-Demographic Data | |
---|---|
Gender (n females, %) | 42 (97.7%) |
Age, M (SD) | 61.1 (8.2) |
Employment status, nº (%) | |
Unemployed | 3 (7.0%) |
Active worker | 3 (7.0%) |
Paid employment but on sick leave | 1 (2.3%) |
Retired/pensioner | 20 (46.5%) |
Permanent disability | 6 (14.0%) |
Others | 7 (16.3%) |
Missing | 3 (7.0%) |
Clinical Data (M, SD) | |
Time between the onset of symptoms and diagnosis (years) | 9.8 (8.3) |
Time living with the diagnosis (years) | 11.6 (7.4) |
Satisfaction with the healthcare system (0–10) | 7.1 (3.1) |
Satisfaction with medication (0–10) | 5.2 (2.6) |
Satisfaction with non-pharmacological treatments (0–10) | 7.2 (2.9) |
Themes | Categories |
---|---|
1. How stress and negative emotions can affect the body | It was common to find the presence of a “specific trigger” (stressful event) for FM symptoms. |
Some FM patients did not report a specific trigger but reported that they had endured harsh conditions throughout their lives. | |
Patients consciously/unconsciously highlighted the importance of stress in FM. | |
Patients were afraid to express what they feel. | |
Gradually, the patients began to discuss the role played by the mind and how their emotional state influenced their pain. | |
2. Fulfilling expected gender roles | All patients put a very high limit on their daily activities because they have to assume their assigned gender role. |
The patients had difficulty in facing problems. | |
3. Lack of support from the family | Some of them received some support. |
In general, the patients received little support. | |
4. Abuse | The patients experienced physical, psychological, and economical abuse. |
Some patients found ways to manage and protect themselves from abuse. |
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Montesó-Curto, P.; Panisello-Chavarria, M.L.; Sarrió-Colás, L.; Toussaint, L. Nurses’ Perceptions of Patient Fibromyalgia Illness Experiences after Performing Group-Based Problem-Solving Therapy: A Qualitative Research Study. Healthcare 2023, 11, 1531. https://doi.org/10.3390/healthcare11111531
Montesó-Curto P, Panisello-Chavarria ML, Sarrió-Colás L, Toussaint L. Nurses’ Perceptions of Patient Fibromyalgia Illness Experiences after Performing Group-Based Problem-Solving Therapy: A Qualitative Research Study. Healthcare. 2023; 11(11):1531. https://doi.org/10.3390/healthcare11111531
Chicago/Turabian StyleMontesó-Curto, Pilar, Maria Luisa Panisello-Chavarria, Lidia Sarrió-Colás, and Loren Toussaint. 2023. "Nurses’ Perceptions of Patient Fibromyalgia Illness Experiences after Performing Group-Based Problem-Solving Therapy: A Qualitative Research Study" Healthcare 11, no. 11: 1531. https://doi.org/10.3390/healthcare11111531