痛苦:持续的疼痛的贡献
1Department of Anesthesiology, School of Medicine, University of Washington, Seattle 98195, USA. crc@u.washington.edu
Lancet (London, England)
|July 7, 1999
概括
当慢性疼痛损害一个人的自我意识,创造一个压力循环时,痛苦就会出现. 医生可以通过有效管理疼痛来缓解痛苦,将其与更广泛的痛苦概念区分开来.
科学领域:
- 医学人文学科 医学人文学科
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
背景情况:
- 疼痛是对生物完整性的威胁,而痛苦则是对自我的威胁.
- 慢性疼痛可以改变患者的身份,导致生理应激反应.
- 自我认知与现实之间的差异导致了痛苦.
研究的目的:
- 以医学上有用的方式定义痛苦,将其与疼痛区分开来.
- 解释疼痛是如何作为一种导致痛苦的压力因素.
- 探索对患者护理的临床影响.
主要方法:
- 对疼痛和痛苦的概念审查.
- 分析慢性疼痛,压力和患者身份之间的关系.
- 探讨医生在管理痛苦中的作用.
主要成果:
- 痛苦源于对自我的感知威胁,经常被慢性疼痛加剧.
- 慢性疼痛会引发一种应激反应 (神经内分泌失调,疲劳,失调),这可能会导致一系列的残疾.
- 感知到无法控制的疼痛会加剧压力和痛苦.
结论:
- 痛苦与疼痛不同,尽管疼痛可能是一个重要的贡献者.
- 对于医生来说,理解疼痛是压力因素至关重要.
- 医生有效的疼痛管理可以预防或缓解患者的痛苦.
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