'Everything's fine, so why does it happen?' A qualitative investigation of patients' perceptions of noncardiac chest pain. Issue 13 (19th May 2015)

• Record Type: Journal Article
• Authors: Webster, Rosie; Thompson, Andrew R; Norman, Paul
• Is Part Of: Journal of clinical nursing. Volume 24:Issue 13/14(2015)
• Page Start: 1936
• Page End: 1945
• Publication Date: 2015-05-19
• Subjects: Nursing -- Periodicals; Clinical medicine -- Periodicals; 610.7305
• DOI: 10.1111/jocn.12841
• Languages: English
• ISSNs: 0962-1067

Abstract

<abstract abstract-type="main" id="jocn12841-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jocn12841-sec-0001" sec-type="section"> <title>Aims and objectives</title> <p>To examine patients' perceptions and experiences of noncardiac chest pain, within the framework of the common sense model.</p> </sec> <sec id="jocn12841-sec-0002" sec-type="section"> <title>Background</title> <p>Patients with noncardiac chest pain have good physical prognosis, but frequently suffer prolonged pain and psychological distress. The common sense model may provide a good framework for examining outcomes in patients with noncardiac chest pain.</p> </sec> <sec id="jocn12841-sec-0003" sec-type="section"> <title>Design</title> <p>Qualitative thematic analysis with semi‐structured interviews.</p> </sec> <sec id="jocn12841-sec-0004" sec-type="section"> <title>Methods</title> <p>In 2010, participants recruited from an emergency department (<italic>N </italic>= 7) with persistent noncardiac chest pain and distress were interviewed using a semi‐structured schedule, and data were analysed using thematic analysis.</p> </sec> <sec id="jocn12841-sec-0005" sec-type="section"> <title>Results</title> <p>Seven themes were identified; six of which mapped onto core dimensions of the common sense model (identity, cause, timeline, consequences, personal control, treatment control). Contrary to previous research on medically unexplained symptoms, most participants perceived psychological factors to play a causal role in their chest pain. Participants' perceptions largely mapped onto the common sense model, although there was a lack of coherence across dimensions, particularly with regard to cause.</p> </sec> <sec id="jocn12841-sec-0006" sec-type="section"> <title>Conclusion</title> <p>Patients with noncardiac chest pain lack understanding with regard to their condition and may be accepting of psychological causes of their pain.</p> </sec> <sec id="jocn12841-sec-0007" sec-type="section"> <title>Relevance to clinical practice</title> <p>Brief psychological interventions aimed at improving understanding of the causes of noncardiac chest pain and providing techniques for managing pain and stress may be useful for patients with noncardiac chest pain.</p> </sec> </abstract>