痛苦是可以接受的吗? 关于成年人对慢性疼痛感知的定性探索
Hanaa Kahtan1, Abbie Jordan1,2, Patrice Forget3,4,5,6
1Department of Psychology, University of Bath, Bath, UK.
European journal of pain (London, England)
|February 24, 2024
概括
了解可接受的疼痛是治疗慢性疼痛的关键. 两个主题出现了:"笑着忍受"和"勃发展与生存",突出了个人在应对慢性非癌症疼痛 (CNCP) 的差异.
科学领域:
- 疼痛管理 疼痛管理
- 定性研究是指质量研究.
- 患者体验 患者体验
背景情况:
- 慢性疼痛显著影响日常生活,但"可接受的疼痛"的概念仍未得到充分探索.
- 现有的文献主要关注疼痛挑战,而不是患者对可接受性的看法.
- 这项研究通过调查"可接受的疼痛"对患有慢性非癌症疼痛 (CNCP) 的成年人意味着什么来弥补这一差距.
研究的目的:
- 探索"可接受的疼痛"对于患有慢性非癌症疼痛 (CNCP) 的成年人来说的含义.
- 确定影响人们对可接受疼痛感知的因素.
- 为了告知慢性疼痛的临床评估和管理策略.
主要方法:
- 全球117名成年参与者在线进行定性调查.
- 用于参与者招聘的机会抽样.
- 对定性数据应用的感应反射主题分析.
主要成果:
- 确定了两个不同的主题:"我笑着忍受它" (为了维持日常生活而忍受痛苦) 和"繁荣与生存" (尽管痛苦,但优先考虑有意义的生活).
- 疼痛的接受度受到疼痛严重程度,心理健康,功能,生产力和生活质量的影响.
- 疼痛的可接受性存在于连续性上,主观经验在个人之间有很大差异.
结论:
- 数字疼痛量表可能无法完全捕捉出临床上显著的变化.
- 了解个体对可接受疼痛的看法对于有效的临床治疗CNCP至关重要.
- CNCP影响生物,心理和社会福祉,需要采取整体的护理方法.
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