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Master Thesis

Perception et vécu de la douleur chronique chez les patients atteints de polyarthrite rhumatoïde : une étude qualitative dans un centre universitaire

Abstract : Rheumatoid arthritis is a chronic inflammatory disease that causes acute pain during inflammatory attacks, but also chronic pain. The arrival of biotherapies about thirty years ago has largely made it possible to control this inflammation and therefore reduce pain. However, in about a third of cases, the persistence of residual pain is observed, despite a disease considered in remission according to the Disease Activity Score 28 (DAS 28). Several etiologies can be at the origin of this persistent pain. It is important to be able to spot them in order to better relieve them later. In fact, pain, when it becomes chronic, greatly degrades the quality of life of patients. It is multidimensional, defined by the International Association for the Study of Pain (IASP) as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage." The biopsychosocial model is a medical approach to take charge ofall the components of pain. The aim of this qualitative study is to collect patients' testimonies on the perception and experience of chronic pain. Differences between social classes and generations were also studied. Our study highlights a traumatic experience of the first pains and the announcement of the illness, followed by the acceptance of the pains and the adaptation in their new daily life. RA patients suffer from being misunderstood by non-ill people because of invisible pain, but at the same time they struggle to avoid being marginalised and stigmatised. Over the years, they gain absolute trust in doctors and are grateful for the treatments they offer, including biotherapies that have brought perhaps partial but nonetheless important pain relief. We have observed social and generational differences that explain more severe attacks in the working classes and a greater impact in younger subjects. In conclusion, chronic pain is a subjective complaint, influenced among other things by social origins and generations. It causes a disruption in the patient's daily life and requires a holistic approach in order to treat it in the best possible way.
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Submitted on : Thursday, April 1, 2021 - 5:45:59 PM
Last modification on : Tuesday, October 19, 2021 - 11:34:51 PM
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  • HAL Id : dumas-03188265, version 1


Amélie Bernard. Perception et vécu de la douleur chronique chez les patients atteints de polyarthrite rhumatoïde : une étude qualitative dans un centre universitaire. Médecine humaine et pathologie. 2020. ⟨dumas-03188265⟩



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