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Master Thesis

Etude qualitative en Ille-et-Vilaine et en Côte d’Or sur la perception et les attentes de patients douloureux chroniques vis-à-vis de leur médecin généraliste, des professionnels de santé et des structures impliquées dans le traitement de la douleur

Abstract : Introduction: The treatment of chronic pain patients is a public health issue with a significant impact on the medico-psycho-social plans at the individual levels and repercussions at the national level. It requires regular follow-up with the general practitioner, who remains the patient's main contact and who can rely on a pain study and treatment structure to establish a therapeutic project. Within this complex pathway, we thought it would be interesting to learn more about a little-explored subject, namely the representations and expectations of chronic pain patients, in order to improve their care pathway. Objective: The main objective of this study is to analyze the experiences, expectations and representations of chronic pain patients with regard to health professionals, including general practitioners and structures specialized in the treatment of chronic pain, in order to collect the needs and difficulties encountered and thus propose avenues for improvement. Method: Qualitative phenomenological study by individual semi-directed interviews with thirteen adult patients with chronic pain for at least one year, living in Ille-et-Vilaine or Côte d'Or. Data analysis was manually coded according to an inductive and phenomenological model. Results: The main expectations of chronic pain patients with regard to doctors, health professionals and dedicated structures are: to be relieved, to establish a relationship of trust, to be listened to and also understood, supported, informed, respected and well oriented. Being an actor in the care process with a good visibility on the care pathway in a partnership approach is also part of the patients' expectations. As for the difficulties experienced, the most frequently stated are: the lack of recognition of pain, of listening, of consideration as a person, of time allocated and of respect for their decisions. Also, the caregivers' discourse is sometimes described as anxiety-provoking and guilt-inducing. Finally, information about pain treatments and access to specialized structures could also be improved. Discussion: As with other chronic pathologies, the patient's journey is long and complex. The general practitioner has an essential role, and must be able to rely on specialists and, if necessary, on specialized structures. Patients have to face multiple difficulties, they rely on the general practitioner and the caregivers to listen to them, support them and relieve them. To improve their care, patients suggest that doctors be made aware of the treatment of chronic pain and the doctor-patient relationship through their university training. The development of visibility and accessibility to facilities should be encouraged.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03529796
Contributor : Santé Rennes 1 Connect in order to contact the contributor
Submitted on : Monday, January 17, 2022 - 4:11:36 PM
Last modification on : Wednesday, March 23, 2022 - 3:37:53 AM
Long-term archiving on: : Monday, April 18, 2022 - 9:03:41 PM

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Pascal Chaumont. Etude qualitative en Ille-et-Vilaine et en Côte d’Or sur la perception et les attentes de patients douloureux chroniques vis-à-vis de leur médecin généraliste, des professionnels de santé et des structures impliquées dans le traitement de la douleur. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03529796⟩

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