不同种族和种族群体之间疼痛体验的差异
Elizabeth Lane1, Chris Barnes2, Julie M Fritz3
1Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City, Utah, USA.
Physical therapy
|January 5, 2024
概括
种族影响疼痛灾难化和自我效能如何影响慢性脊柱疼痛患者的疼痛强度. 这些心理因素根据种族产生不同的影响,影响疼痛管理策略.
科学领域:
- 疼痛管理 疼痛管理
- 健康差异 在健康上的差异
- 疼痛的心理学 疼痛的心理学
背景情况:
- 在疼痛管理方面,基于种族的差异仍然存在.
- 了解调解和调节因素对于公平的护理至关重要.
- 慢性脊柱疼痛影响着接受物理治疗的不同人群.
研究的目的:
- 调查疼痛灾难化和自我效能作为疼痛强度的种族差异的调解者.
- 检查种族在疼痛灾难化/自我有效性和疼痛结果之间的关系中起的调节作用.
- 为慢性脊柱疼痛患者提供有针对性的干预信息.
主要方法:
- 一项集群随机试验的二次分析,涉及274名患有慢性脊柱疼痛的参与者.
- 调解分析评估了疼痛灾难化和自我有效性在种族疼痛强度关联中的作用.
- 调节分析使用多重线性回归来评估种族在疼痛结果关系中的作用.
主要成果:
- 与非西班牙裔白人参与者相比,黑人参与者报告了较高的基线疼痛强度.
- 疼痛灾难化和自我有效性都调解了种族和基线疼痛强度之间的关系.
- 种族调节了疼痛灾难化/自我有效性和12周疼痛强度之间的关联.
结论:
- 疼痛灾难化和自我效能对疼痛强度有不同的影响,因种族而异.
- 这些发现凸显了在疼痛管理策略中考虑种族的必要性.
- 解决疼痛感知中的种族相关差异可以帮助减少健康差异.
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