{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:12:10Z","timestamp":1790694730806,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2013,3,11]],"date-time":"2013-03-11T00:00:00Z","timestamp":1362960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Oslo University Hospital"},{"name":"Ullev\u00e5l and Diakonhjemmet University College"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>According to the literature, 20\u201360% of patients develop chronic pain after breast cancer surgery and treatment. Because of the short length of hospitalisation in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>orway, breast cancer patients are left responsible for most of their own pain management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An explorative and qualitative design was chosen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In\u2010depth interviews were conducted with eight women who experienced chronic pain rated at 3\u20135 on a 11\u2010point numerical rating scale one year or more after breast cancer surgery. This study is part of a larger, quantitative study assessing pain after surgery. The interviews were taped, transcribed and analysed according to qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The interviewees had expected pain in the acute postoperative period, but had not expected that pain would persist. None of the women recalled having received information about pain. They took few analgesics and were generally sceptical about medication, mostly because of earlier reactions to drugs. They received no explanations for and little help with chronic pain. Most of them were active and worked outside the home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>After short hospital stays, adequate information and follow\u2010up after discharge may optimise pain management regimens. Those who develop chronic pain need more information and help to manage their pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Finding the appropriate time for information about postoperative pain management is necessary to optimise a good analgesic regimen. Multimodal and aggressive treatment of acute pain should be emphasised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12167","type":"journal-article","created":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T02:55:55Z","timestamp":1363143355000},"page":"1044-1052","source":"Crossref","is-referenced-by-count":23,"title":["Women's experience of acute and chronic pain following breast cancer surgery"],"prefix":"10.1111","volume":"22","author":[{"given":"Inger L","family":"Hovind","sequence":"first","affiliation":[{"name":"Division of Emergencies and Critical Care Department of Nurse Anesthesia Oslo University Hospital\u2010Ullev\u00e5l Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger S","family":"Bredal","sequence":"additional","affiliation":[{"name":"Oslo University Hospital\/Institute of Health and Society University of Oslo Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfhild","family":"Dihle","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Diakonhjemmet University College Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2010.12.005"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-003-0008-2"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2006.11.003"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.03.011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2008.06.003"},{"key":"e_1_2_11_7_1","first-page":"255","volume-title":"Pain Best Practice and Research Compendium","author":"Breivik H","year":"2006"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773807306553"},{"key":"e_1_2_11_9_1","first-page":"760","volume-title":"Textbook of Anaesthesia","author":"Collett BJ","year":"2007"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2006.01272.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e32833fad0a"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1568"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3181dee988"},{"key":"e_1_2_11_15_1","unstructured":"International Association for the Study of Pain (IASP)(2007)IASP Pain Terminology. Available at:www.iasp-pain.org\/AM\/Template.cfm?Section=Pain_Definitions&Template=\/CM\/HTMLDisplay.cfm&ContentID=1728(accessed 15 June 2012)."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2004.03.001"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/145749690209100304"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.09.008"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68700-X"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.01.013"},{"key":"e_1_2_11_21_1","volume-title":"Interviews: An Introduction to Qualitative Research Interviewing","author":"Kvale S","year":"1996"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02340.x"},{"key":"e_1_2_11_23_1","first-page":"399","volume-title":"Pain: Clinical Manual","author":"McCaffery M","year":"1999"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2001.19.23.4275"},{"key":"e_1_2_11_25_1","unstructured":"Ministry of Health and Care Services(1999a)Act of 2 July 1999 No. 63 relating to Patients' Rights (The Patients' Rights Act). Available at:www.regjeringen.no\/nb\/dep\/hod\/tema\/pasientinformasjon\/the-act-of-2-July-1999-no-63-relating-to.html?id=229533(accessed 15 June 2012)."},{"key":"e_1_2_11_26_1","unstructured":"Ministry of Health and Care Services(1999b)Act of 2 July 1999 No. 64 relating to Health Personnel etc. (The Health Personnel Act). Available at:www.regjeringen.no\/nb\/dep\/hod\/dok\/lover_regler\/reglement\/2002\/act-of-2-July-1999-no-64-relating-to-hea.html?id=107079(accessed 15 June 2012)."},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.11.318"},{"key":"e_1_2_11_28_1","unstructured":"Norwegian Medical Association (NMA)(2009)Guidelines for Pain Management in Norway. Available at:http:\/\/legeforeningen.no\/pagefiles\/42355\/retningslinjer%20smertebehandling%20dnlf.pdf(accessed 15 June 2012)."},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05222.x"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2006.02.007"},{"key":"e_1_2_11_31_1","volume-title":"Nursing Research: Principles and Methods","author":"Polit DF","year":"2004"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511750861"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2004.09.010"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.11.021"},{"key":"e_1_2_11_35_1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1684\/bdc.2010.1133","article-title":"L'exp\u00e9rience de la douleur parmi des femmes atteintes d'un cancer du sein (cohorte ELIPPSE). Pain and breast cancer among women from the ELIPPSE cohort","volume":"97","author":"Spica L","year":"2010","journal-title":"Bulletin du Cancer"},{"key":"e_1_2_11_36_1","first-page":"2378","article-title":"Pain problems and illness behavior","volume":"125","author":"Stubhaug B","year":"2005","journal-title":"The Journal of the Norwegian Medical Association"},{"key":"e_1_2_11_37_1","unstructured":"The Cancer Registry of Norway(2009)The Incidence Registry. Cancer in Norway 2009. Available at:www.kreftregisteret.no\/no\/Generelt\/Publikasjoner\/Cancer-in-Norway\/(accessed 15 June 2012)."},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313480807400402"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e31816fe020"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2834.2004.00470.x"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12167","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjocn.12167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.12167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T03:15:55Z","timestamp":1698635755000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.12167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,11]]},"references-count":39,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1111\/jocn.12167"],"URL":"https:\/\/doi.org\/10.1111\/jocn.12167","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,11]]}}}