دورية أكاديمية
Experiences of patients with fibromyalgia at a Finnish Health Centre: A qualitative study.
| العنوان: | Experiences of patients with fibromyalgia at a Finnish Health Centre: A qualitative study. |
|---|---|
| المؤلفون: | Varinen A; Department of General Practice, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland., Vuorio T; Finnish Student Health Service, Turku, Finland., Kosunen E; Department of General Practice, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland., Koskela TH; Department of General Practice, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.; Centre for General Practice, Tampere University Hospital, Tampere, Finland. |
| المصدر: | The European journal of general practice [Eur J Gen Pract] 2022 Dec; Vol. 28 (1), pp. 157-164. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9513566 Publication Model: Print Cited Medium: Internet ISSN: 1751-1402 (Electronic) Linking ISSN: 13814788 NLM ISO Abbreviation: Eur J Gen Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: [Amersfoort, The Netherlands] : Mediselect Pub., c1995- |
| مواضيع طبية MeSH: | Fibromyalgia*/diagnosis , Fibromyalgia*/psychology , Physicians*, Finland ; Humans ; Physician-Patient Relations ; Qualitative Research |
| مستخلص: | Background: Fibromyalgia is a functional syndrome. Despite recent findings, there is still considerable uncertainty about its diagnostic process. Objectives: This study aimed to explore patients' experiences with fibromyalgia during the diagnostic process in primary health care. Moreover, we tried to determine how diagnostic consultation could be improved. Methods: This study is based on data from patients with fibromyalgia in a primary health care study conducted in Nokia, Finland. Patients with fibromyalgia were identified from electronic medical records. Focus-group participants with fibromyalgia diagnoses were selected using a purposive sampling method to gather a maximum variation sample. Qualitative thematic analysis was used for the coded data from four focus-group discussions in 2018. A description of the coding tree was provided and researchers organised the codes. Finally, all researchers identified themes from the data. Results: The main unifying entities were the uncertainty and contradictions fibromyalgia patients faced on several occasions. Physicians sometimes offered other diagnoses - like depression - as an explanation for the symptoms, or used repetitive tests to eliminate other possible diagnoses. Furthermore, patients expressed their wishes for a holistic, empathetic, and up-to-date approach to their symptoms. Conclusion: In our interviews, a good doctor-patient relationship and continuity of care were necessary, as were the physician's attitude and knowledge of fibromyalgia. Our findings also suggest avoiding repeated or unnecessary rule-out tests and the overdiagnosis of psychiatric disorders is necessary. |
| References: | J Rheumatol. 2003 Aug;30(8):1668-70. (PMID: 12913919) Clin Rheumatol. 2016 Apr;35(4):1019-27. (PMID: 25085273) Arthritis Rheum. 2002 Jun 15;47(3):260-5. (PMID: 12115155) Eur J Gen Pract. 2018 Dec;24(1):9-18. (PMID: 29199486) Glob Qual Nurs Res. 2016 Jul 6;3:2333393616658141. (PMID: 28620627) BMC Musculoskelet Disord. 2009 Oct 07;10:124. (PMID: 19811630) J Eval Clin Pract. 2020 Apr;26(2):425-430. (PMID: 32056329) Arthritis Care Res (Hoboken). 2010 May;62(5):600-10. (PMID: 20461783) Cochrane Database Syst Rev. 2018 Feb 19;2:CD010585. (PMID: 29457627) Arthritis Care Res (Hoboken). 2013 May;65(5):777-85. (PMID: 23424058) Chronic Illn. 2018 Sep;14(3):194-211. (PMID: 28762775) J Psychosom Res. 2020 Jan;128:109868. (PMID: 31759195) Reumatol Clin. 2010 Jan-Feb;6(1):16-22. (PMID: 21794673) Int J Clin Pract. 2016 Feb;70(2):99-112. (PMID: 26817567) JAMA. 2014 Apr 16;311(15):1547-55. (PMID: 24737367) Qual Health Res. 2019 May;29(6):809-819. (PMID: 30296924) Med Sci Monit Basic Res. 2019 Jul 05;25:169-178. (PMID: 31273184) Soc Sci Med. 2008 Jul;67(1):57-67. (PMID: 18423826) Curr Opin Endocrinol Diabetes Obes. 2014 Oct;21(5):377-83. (PMID: 25122491) Br J Health Psychol. 2013 Nov;18(4):763-81. (PMID: 23347093) Korean J Pain. 2018 Jul;31(3):147-154. (PMID: 30013729) Curr Pain Headache Rep. 2001 Aug;5(4):347-50. (PMID: 11403738) Semin Arthritis Rheum. 2016 Dec;46(3):319-329. (PMID: 27916278) |
| فهرسة مساهمة: | Keywords: Fibromyalgia; continuity of care; doctor-patient relationship; focus group; qualitative study |
| تواريخ الأحداث: | Date Created: 20220621 Date Completed: 20220622 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9225685 |
| DOI: | 10.1080/13814788.2022.2085683 |
| PMID: | 35726620 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher 
Full Text Finder | تدمد: | 1751-1402 |
|---|---|
| DOI: | 10.1080/13814788.2022.2085683 |