Abstract:
AIMS AND OBJECTIVES:To gain insight into the lived experience of adults with overweight/obesity and chronic musculoskeletal pain. Knowledge gained will inform healthcare professionals about the complexity of the weight-pain relationship and enable more effective engagement with this population. BACKGROUND:Quantitative studies show links between weight and pain. Adults with overweight/obesity are more likely to experience comorbidity; however, qualitative research describing the complexities of the relationship is limited. METHODS:A purposive sample of adults with overweight/obesity and chronic musculoskeletal pain participated in face-to-face interviews. Interviews were audio-recorded, transcribed verbatim and analysed using interpretive phenomenological analysis. RESULTS:Eighteen adults (16 female) aged 29-71, body mass index ≥25-46, participated in this study. Three superordinate themes emerged: "pain as a motivator and barrier to weight loss"; "fear of weight causing more damage"; and "activity is positive." Pain motivates some individuals to lose weight while simultaneously inhibiting weight loss efforts. Participants' perception that extra pressure caused by their weight further damaged joints contributed to fear and catastrophising. Fear is often exacerbated by healthcare professionals' descriptions of musculoskeletal damage, or participants' perception of healthcare professionals' attitude towards people with overweight/obesity. Conversely, individuals acknowledged the benefits of increased activity. CONCLUSION:Adults with overweight/obesity and chronic musculoskeletal pain in this study identified a bidirectional relationship between their weight and pain that challenged their weight loss efforts. Overweight/obesity contributed to fear and catastrophising, which resulted in avoidance of exercise that would have assisted their weight loss. RELEVANCE TO CLINICAL PRACTICE:Healthcare professionals need to understand the complex relationship between weight and pain, and their patients' understanding of that relationship. Healthcare professionals should use therapeutic communication to reduce the fear of weight causing damage, and thus promote physical activities that will contribute to weight loss. It is also important to ensure that the language used with this patient group does not stigmatise individuals, or cause or exacerbate fear of normal movement.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Cooper L,Ells L,Ryan C,Martin Ddoi
10.1111/jocn.14178subject
Has Abstractpub_date
2018-03-01 00:00:00pages
e776-e786issue
5-6eissn
0962-1067issn
1365-2702journal_volume
27pub_type
杂志文章abstract:AIM:To examine changes in quality of life among patients with breast cancer and factors related to it, during the first three months after diagnosis. BACKGROUND:Numerous studies have examined quality of life among cancer survivors or among patients with cancer after aggressive treatment; such research has demonstrated...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03735.x
更新日期:2012-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to investigate how a lifestyle intervention programme influences psychiatric and psychosocial factors among persons with psychiatric disabilities. BACKGROUND:Persons with psychiatric disabilities often suffer from a simultaneous physical health problem, where circulatory d...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2009.03010.x
更新日期:2010-06-01 00:00:00
abstract:AIMS:The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours. BACKGROUND:Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03280.x
更新日期:2010-11-01 00:00:00
abstract::The article describes the results of a survey of Finnish nurses (n = 882). The purpose of the study was to describe how nurses' education, working experience and their own smoking habits relate to their self-reported competence in advising and supporting clients to cease smoking. Nurses evaluated their skills fairly h...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00521.x
更新日期:2001-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore perceptions of experience exacerbations of chronic obstructive pulmonary disease among chronic obstructive pulmonary disease patients with comorbid gastrooesophageal reflux disease by focusing on unravelling how patients differentiate and react to symptoms of chronic obstructive pulmonary...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14814
更新日期:2019-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the similarities and differences in factors that influence nurses' and physicians' decision-making related to family presence during resuscitation. BACKGROUND:Despite the growing acceptance of family presence during resuscitation worldwide, healthcare professionals continue to debate the...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13948
更新日期:2018-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To develop a set of psychometrically sound instruments to assess knowledge, self-management and self-efficacy of diabetic patients. Furthermore, a survey to evaluate the satisfaction about diabetes education for patients was developed and tested. BACKGROUND:Treatment and secondary prevention of dia...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12044
更新日期:2014-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to determine the effects of bed exercises and gum chewing on abdominal sounds, flatulence and early discharge on women who have given birth at the Cengiz Gökçek Gynecology and Obstetrics Hospital surgery services in Gaziantep city centre. BACKGROUND:Caesarean operation...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.13245
更新日期:2016-05-01 00:00:00
abstract:AIM:The purpose of the study is to examine factors associated with do-not-resuscitate orders, do-not-hospitalise orders and hospice care in older nursing home residents at admission. BACKGROUND:Although hospice care is viewed as the 'gold standard,' geographic availability and financial reimbursement limits its use. T...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03346.x
更新日期:2011-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:Examine the effect of an ongoing breast health screening program, at a not-for-profit, non-government assisted, volunteer clinic, specifically examining mammography usage and to discover variables to improve the rate of mammography. BACKGROUND:Detection of breast cancer in women of low socio-econom...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04205.x
更新日期:2012-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore registered nurses' perceptions of safe practice in care for patients with an extended length of stay in the emergency department. BACKGROUND:Extended length of stay and overcrowding in emergency departments are described internationally as one of the most comprehensive challenges of mode...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14143
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the experience and personal impact of a group leadership course for child healthcare nurses. BACKGROUND:During their child's first year, all parents in Sweden are invited to participate in parental groups within the child health service; however, only 49% choose to participate. Despi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13446
更新日期:2017-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether gender, age and their interaction affect health-related quality of life and overall health status following kidney transplantation. BACKGROUND:Some investigators have examined the main effects of gender and/or age on health-related quality of life following kidney transplantatio...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01745.x
更新日期:2008-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The main aim of the study is to assess the views of people, who have not yet experienced nurse prescribing, to determine their level of confidence in nurse as opposed to doctor prescribing, effects on likely adherence and concerns that they might have. Additionally, the extent to which people would ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01258.x
更新日期:2006-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the extent to which parental readiness for hospital discharge mediates the relationship between quality of discharge teaching and parental self-efficacy in parents of preterm infants. BACKGROUND:Parental readiness for hospital discharge and self-efficacy should be considered to establish...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15405
更新日期:2020-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to describe the experience of rehabilitation reported by coronary artery disease patients who had undergone coronary artery bypass surgery. A further purpose was to describe the kind of guidance on rehabilitation that they were given during this period. METHODS:The dat...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01516.x
更新日期:2007-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To gain knowledge of how women experience pain and pain treatment after breast cancer surgery and to identify areas of pain management that they believe could be improved. BACKGROUND:According to the literature, 20-60% of patients develop chronic pain after breast cancer surgery and treatment. Beca...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12167
更新日期:2013-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report the findings from an evaluation of the impact of the Compassion in Practice Vision and Strategy (National Health Service England (NHSE), 2012) on nursing, midwifery and care staff. BACKGROUND:The Compassion in Practice Vision and Strategy was a programme of work to highlight the importanc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14176
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to explore student nurses' experiences of bioscience learning, teaching and application within the practice setting. It draws upon the social learning theory of communities of practice to consider the issues raised. BACKGROUND:The teaching of bioscience within many nursing curricula...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13020
更新日期:2016-03-01 00:00:00
abstract:AIMS & OBJECTIVES:The purpose of this study was to elucidate the barriers and enablers to adherence to anticoagulation in individuals with chronic heart failure (CHF) with concomitant atrial fibrillation (AF) from the perspective of patients and providers. BACKGROUND:CHF and AF commonly coexist and are associated with...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13759
更新日期:2017-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this paper is to explore self-care in diabetes and to present a model of factors that affect self-care according to reviewed literature. BACKGROUND:Self-care in diabetes is crucial to keep the disease under control. Self-care consists at least four aspects: (i) self-monitoring of blood g...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2004.01043.x
更新日期:2005-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore contact with and knowledge regarding chest drain management among nurses. BACKGROUND:Chest drains are commonly used in both adult and paediatric settings, for example, for cardiothoracic patients or postspinal surgery, where they are inserted intra-operatively to drain excess fluid. Desp...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12299
更新日期:2013-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To understand how prognostic information is communicated by Jordanian doctors and nurses to the families of dying patients in intensive care units, with an emphasis on exploring how hope and truth telling about patients' poor prognosis are managed. BACKGROUND:Improving end-of-life care requires a f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15630
更新日期:2020-12-30 00:00:00
abstract:AIMS AND OBJECTIVES:This paper draws upon an evaluation of the first group of nurse consultants in Scotland. The evaluation aimed to identify the extent to which they fulfilled the remit of their posts which comprised four core functions. One of these functions was to provide professional leadership and this paper focu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02520.x
更新日期:2009-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this paper is to present the findings from the new graduate nurse participants of a larger study that explored the transitional experiences of newly graduated nurses making the role transition in rural health care facilities in Australia. BACKGROUND:Evidence indicates that workload, skil...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12720
更新日期:2015-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore healthcare professionals' personal experiences, feelings and attitudes about caring for hospitalised patients with multidrug-resistant bacteria in palliative and geriatric care. BACKGROUND:Working in end-of-life care involves at times burdening demands that affect not only healthcare pro...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14503
更新日期:2018-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the coping strategies of family carers of people with early and advanced chronic obstructive pulmonary disease and how those relate to their subjective health. BACKGROUND:Caring for a family member with chronic obstructive pulmonary disease can be a stressful experience. Understanding ho...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12363
更新日期:2014-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify whether meaning in life has moderating and mediating effects on the relationship between depression and quality of life in patients with dysphagia. BACKGROUND:Dysphagic patients typically have multidimensional problems, such as depression, which can negatively influence their quality of...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14907
更新日期:2019-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to test the Chinese version of the Critical Thinking Disposition Inventory (CTDI-CV) among nurses in Taiwan. BACKGROUND:Critical thinking is the use of purposeful self-regulatory judgments to identify patient's problems and provide patient care. Critical thinking influence...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03343.x
更新日期:2010-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the effect of sociodemographic and clinical factors on body image, sexual function and sexual satisfaction in women following breast cancer treatment. BACKGROUND:Women with breast cancer may experience a wide range of symptoms associated with body image and sexuality that can severely a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13125
更新日期:2016-06-01 00:00:00