在萨斯喀彻温省北部的一个克里族社区,社区对疼痛进行了指导性评估
Tayah Zhang1, Elder Rose Dorian2, Sally Sewap2
1College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
International journal of circumpolar health
|January 7, 2024
概括
原住民社区需要文化相关的疼痛评估工具. 克里人开发的一种新的疼痛量表与西方的测量方法很一致,改善了慢性疼痛的沟通和以患者为中心的护理.
科学领域:
- 土著健康土著健康
- 疼痛管理 疼痛管理
- 混合方法 研究 研究 研究 混合方法
背景情况:
- 西方疼痛量表可能无法准确评估土著社区的疼痛.
- 老年顾问强调了对文化敏感的疼痛评估工具的需要.
研究的目的:
- 为克里族社区开发和试验一种文化适应的疼痛量表.
- 评估新尺度与西方疼痛尺度之间的一致性.
- 探索患者和医疗保健提供者对疼痛沟通的观点.
主要方法:
- 混合方法设计有两个阶段:规模开发和试点测试.
- 与土著顾问合作开发了克里人开发的疼痛量表 (CDPS).
- 在慢性背痛虚拟物理治疗期间对CDPS的试点研究,包括定量 (卡帕分析) 和定性 (采访) 数据.
主要成果:
- 该CDPS表现出与面部疼痛尺度修订的良好一致 (k=0.696).
- 定性发现揭示了学习疼痛量表,以患者为中心的护理和基于力量的沟通解决方案的主题.
- 医疗保健提供者分享了关于CDPS和沟通经验的观点.
结论:
- 克里人开发的疼痛量表是一个有希望的,文化相关的工具,用于评估土著社区的疼痛.
- 以患者为中心的方法对于有效的疼痛沟通和评估至关重要.
- 与土著社区的合作对于开发响应性医疗保健工具至关重要.
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