Listening to the body and talking to myself - the impact of chronic lower back pain: a qualitative study.
OBJECTIVE
The aim was to investigate peoples' experiences of the impact of chronic low back pain.


BACKGROUND
Chronic low back pain is a complex disorder with wide-ranging adverse consequences that can impact on people's lifestyles and self-image. It is also a condition that can sometimes be treated with some scepticism by health care providers and other people in the person's life. It has been suggested that further research into the subjective experience of chronic blow back pain is needed to develop a better understanding of its impact.


METHODS
This study is a qualitative analysis of semi-structured interviews with 64 participants identified as having chronic low back pain who were interviewed about the impact of the condition on their lives. The data were analysed using a method of inductive thematic analysis.


RESULTS
Four main themes were identified: the unpredictability of the pain, the need for vigilance, the externalization/objectification of the body and the alteration to sense of self.


CONCLUSIONS
Nurses have an important role to play in working with patients experiencing chronic low back pain to identify any patterns associated with exacerbations of the condition, validating their experiences of chronic low back pain and facilitating the accommodation of chronic low back pain into a more satisfying sense of self.
Centre for Postgraduate Nursing, University of Otago, Christchurch, PO Box 4345, Christchurch, New Zealand. marie.crowe@otago.ac.nz
Marie
M
Crowe
Lisa
L
Whitehead
Mary Jo
MJ
Gagan
G David
GD
Baxter
Avin
A
Pankhurst
Vivienne
V
Valledor
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D017116:Low Back Pain / Q000451:nursing / Q000503:physiopathology* / Q000523:psychology*; D008297:Male; D008875:Middle Aged