Experience with CMP during the pandemic |
Pain perception |
Individuals’ understanding of the presence of pain |
(...). I was even more... I was very confined and very still, not much, and the more I stayed at home [...] because we had no way of going out, of walking. In my case, it seems that people are even more inclined to feel pain, right? (Patient 4)
(...) My pain during the pandemic, in a way, improved, I think in a way because the movement decreased. (Patient 1)
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Worsening of pain intensity
Fear and uncertainty
Concern about contamination
Pain relief
Reduced workload, sedentary lifestyle, and social isolation
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Multidimensional impact of pain and coping strategy |
Control actions for pain |
Actions taken by individuals to relieve pain symptoms |
(...) I had to take some measures on my own. So sometimes, the drugs I take on my own is dipyrone, and I behave as if I had been to the doctor, remembering the treatment he said and doing it. (Patient 3)
(...) Usually we felt a bit of pain, a bit too much, so I tried to rest, rest more, so I could rest a bit, right? (Patient 6)
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Drugs
Rest
Self-management
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Understanding factors that improve pain |
Individuals’ knowledge of actions and strategies that help control and relieve pain |
(...) I tried to do the activities I usually do, I try to set goals and I don’t stand there thinking ‘Ahh, I’m in pain, I’m in pain!’, I take the focus off of it even though I know it exists. (Patient 3)
(...) thinking about the routine, I’m aware that if I go back to having healthier habits ... I already have a healthier eating habit [...] so I think I need to add exercise to my routine. Make it a routine, you know... every day ehhh, do it... I think that if I managed to lose weight, exercise more, maybe I’d be able to notice more of a difference in the pain. (Patient 2)
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Healthy habits
Physical exercise
Rest
Self-management
Self-knowledge
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Access to health services during the pandemic |
Seeking care due to pain |
Search for health care due to worsening of pain symptoms |
(...) I did have it..., but we avoided it... because there was a peak when the contagion was very high, when the health centers were very crowded with COVID patients, so sometimes we felt pain and we avoided it.” (Patient 2)
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Emergency care
Multi-professional care
Avoidance of care
Reception
Guidance
Physiotherapeutic care
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Characteristics of the health service and individual-centered care |
Experience during care |
Individuals’ perceptions during health care received to assess pain symptoms |
(...) The people at the center would say: “No... let’s lengthen it like this, let’s change the booklet like this, try this, try that” So who... who really gives me support for pain is the center, right?” (Patient 1)
(...) ah I had to go straight, I have a card that I can go and book my appointment with the orthopedist, eh. [...], but my orthopedist, he’s... he looks me in the face and says: ‘There’s nothing he can do! You’re already on the physiotherapy waiting list. (Patient 1)
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Satisfaction
Resolvability
Frustration
Indifference
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Quality of life, physical and mental health aspects |
Perception of the present moment |
Feeling of understanding of their current situation and experience. |
(...). Today I went out, did a million things, stood for a long time and got in the car about 10 times, so I’m a bit tired. Anything that takes me out of my routine, the pain comes, you know? (Patient 2)
(...) My emotions are pretty shaken up, 15 days ago we lost my daughter’s father-in-law. It was quite an impact for me, you know. But then we get more tense, you get stuck.” (Patient 4)
(...). I had to stop handicrafts, but I already have the idea of seeing what I can do, right, so the mind always remains a mind, so... inspiring.” (Patient 3)
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Stress
Tiredness
Irritation
Sadness
Grief
Motivation
Encouragement
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Influence of pain on quality of life and future life prospects |
Perspective of health in the future (next 10 years) |
Feeling of expectations about the future in the next 10 years of life. |
(...) I wonder if I’ll ever make it (laughs). When we were kids, we didn’t even think we’d reach 40, let alone 70! I don’t think much about it. But I tell my husband, when he retires, we’re going to live on a ranch by the river, that’s all!” (Patient 5)
(...). Really? I’m so unmotivated... it makes me sad. With the world, with people, [...]. I can’t get a job, I’ve looked for several and I’ve been looking. So, I’m fine, I’m pretty discredited to tell you these days. I have no expectations of tomorrow, you know... I don’t...” (Patient 4)
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Demotivation
Frustration
Responsibility
Hope
Life project
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