J Caring Sci. 2017;6(1): 81-93.
doi: 10.15171/jcs.2017.009
PMID: 28299300
PMCID: PMC5348666
  Abstract View: 796
  PDF Download: 899

Original Research

The Health Seeking Behaviors and Perceptions of Iranian Patient with Osteoarthritis about Pain Management: A Qualitative Study

Vahid Zamanzadeh 1, Fazlollah Ahmadi 2, Marjaneh Foolady 3, Mozhgan Behshid 4 * , Alireza Irajpoor 5

1 1Department of Medical Surgical Nursing, Tabriz Health Services Management Research Centre, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences ,Tabriz, Iran
2 2Department of Nursing, Medical Sciences Faculty, Tarbiat Modares University, Tehran, Iran
3 3Fulbright Scholar, Jordan University and Founder of WWNSN, Jordan
4 4Department of Medical Surgical Nursing, Tabriz Health Services Management Research Centre, , Nursing & Midwifery Faculty, Tabriz University of Medical Sciences , International Branch Aras, Iran
5 5Nursing& Midwifery Care Research Center, Department of Critical Care Nursing, Faculty of Nursing &Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran


Introduction: Pain is the main reason for patients with osteoarthritis (OA) to visit health clinics. Health seeking behaviors indicate unmet patient needs and lack of understanding of OA pain patterns. This study aimed to describe the experiences of Iranian patients with OA and explore their health seeking behaviors and perceptions on pain management related to osteoarthritis. Methods: Using a qualitative approach, data was collected by interviewing 19 patients, 2 family members, and 5 health care providers from the in-patient and out-patient clinics, and physicians’ offices. Data saturation was reached after 31 in-depth and semi-structured interviews (five second interviews). Data were analyzed by qualitative content analysis, using comparison, reflection and interpretation techniques. The criteria used to enhance rigor included credibility, transferability, dependability, and confirmability. Results: Two main categories and six subcategories emerged from data analysis. The first main category included "adapting to the reality" which had three subcategories: Facing OA pain, seeking health care, and accepting pain as a part of life. The second main category included "behavior fluctuation" with three subcategory of role conflict, responsibility for self-care and, adherence to prescribed treatment versus self-treatment. Conclusion: Care seeking behaviors for chronic pain sufferers are void of cultural, emotional, social and financial situation and patient expectations. Some misconceptions emerged about the health problem and its management, which may lead to negative attitudes toward treatment and therapists and finally lead to non-adherence to treatment. Patients need for education to enhance appropriate health care utilization.

Keywords: Osteoarthritis, Pain management, Health behavior, Qualitative research
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Submitted: 23 Jul 2016
Revision: 24 Sep 2016
Accepted: 01 Mar 2017
ePublished: 01 Mar 2017
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