Qualitative study on pain experiences in patients with post-stroke hemiplegic shoulder pain based on the IKAP theory
10.3760/cma.j.cn211501-20240902-02391
- VernacularTitle:基于IKAP的脑卒中后偏瘫肩痛患者疼痛体验的质性研究
- Author:
Yifan KANG
1
;
Li WANG
;
Xinyi ZHANG
;
Menglin YUAN
;
Miaomiao ZHAO
;
Shuangshuang DU
Author Information
1. 湖北中医药大学护理学院，武汉 430065
- Publication Type:Journal Article
- Keywords:
Stroke;
Qualitative research;
Hemiplegic shoulder pain;
IKAP theory;
Pain experiences
- From:
Chinese Journal of Practical Nursing
2025;41(17):1309-1315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the pain sensations and experiences of patients with post-stroke hemiplegic shoulder pain, and to provide reference for the formulation of intervention plans.Methods:Objective sampling method was used to conduct semi-structured interviews on 15 patients with post-stroke hemiplegic shoulder pain in the department of neurology and rehabilitation department of Wuhan No.1 Hospital from January to March 2024. The interview outline was established based on the information-knowledge-attitude-practice (IKAP) theory, and the data were analyzed, summarized and extracted by Colaizzi 7-step analysis method.Results:According to the four core components of the IKAP theory, ten themes were extracted. The information and knowledge included the neglect of the importance of early management for hemiplegic shoulder pain, the lack of understanding of the relevant knowledge about hemiplegic shoulder pain, and the use of restricted or incorrect attribution methods in relation to hemiplegic shoulder pain. The attitude included a perception of pain as uncontrollable, the suppression of pain expression, the concern regarding the persistent presence of pain, and the experience of negative emotions. The practice included the adverse effects stemming from hemiplegic shoulder pain, the strategies employed to cope with hemiplegic shoulder pain, and the expectation of multifaceted social support.Conclusions:Patients with post-stroke hemiplegic shoulder pain bear many burdens and have needs in terms of pain experiences. Healthcare professionals need to strengthen pain health education and guidance, help patients develop correct pain cognition and beliefs, refine the pain management system, assist patients in establishing a diverse social support system, enhance their pain coping abilities, and comprehensively promote the rehabilitation of the disease.
