Self-regulation of chronic pain
stimulation strategy
DOI:
https://doi.org/10.14528/snr.2019.53.1.221Keywords:
concept, chronic pain, stimulation, health careAbstract
Introduction: Strategy of stimulation intended for patients with chronic pain is an active strategy of pain selfregulation where an individual learns to find the balance between the time used for an activity and the time for resting. The aim is to maintain the quality of life and reduce the symptoms of chronic pain. No unified definition for the concept has been developed yet nor has it been applied in practice.
Methods: The descriptive method, the method of analysis, the synthesis of the literature and the PRISMA guidelines were used. Out of a total of 789 results, 19 were included in the final analysis. We performed an overview of the relevant scientific literature and an analysis of the concept stimulation, which has not yet been carried out in Slovenia and includes nine steps.
Results: The strategy for chronic pain management can be divided into three groups: (1) forerunners: pain and ignorance, (2) attributes: activity, time, balance, learning and self-control and (3) consequences of the concept: pain treatment and increased effectiveness at activities.
Discussion and conclusion: Before applying it in practice, the strategy should be tested in a clinical environment and a re-evaluation of the advantages and disadvantages of the use of the concept should be performed. Views on applying the concept in practice differ; some think this would lead to negative consequences, while others think that it would contribute to the healing of chronic pain. The strategy would be useful in programs for patients with a diagnosed chronic pain (chronic pain after injury, degenerative changes, chronic back pains, chronic headaches, fibromyalgia, neuropathic pain etc.) that is not a consequence of oncological illness.
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