"单独做太多":一种混合方法探索患者的经验,实施慢性疼痛的急诊室管理计划
Bernadette Brady1,2,3, Sheng Min Pang3, Sarah Dennis3,4
1School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia.
Musculoskeletal care
|February 29, 2024
概括
患有慢性疼痛的患者需要量身定制的支持,以便在住院后遵循管理计划. 解决个人障碍是改善慢性疼痛管理和遵守基于证据的建议的关键.
科学领域:
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的文化能力.
背景情况:
- 慢性疼痛管理对不同人群构成挑战.
- 紧急部门 (ED) 的访问提供了干预的关键时刻.
- 在制定管理计划时了解患者的经验至关重要.
研究的目的:
- 探索社会文化多元化的个体如何管理慢性疼痛.
- 调查实施基于证据的疼痛管理计划后ED访问.
- 确定影响长期疼痛建议遵守的因素.
主要方法:
- 融合的并行混合方法设计.
- 在澳大利亚悉尼进行的定性采访和描述性分析.
- 招募文化和语言多样性 (CALD) 和澳大利亚出生的参与者.
主要成果:
- 6个月后,在CALD和澳大利亚出生的群体之间,类似的疼痛状态和管理计划进展.
- 根据计划进展,疼痛特征或健康素养没有显著差异.
- 新兴主题:"疾病模式"",紧急情况"和"控制方向"影响了计划的遵守.
结论:
- 治疗慢性疼痛的ED出院建议需要针对患者的具体实施策略.
- 识别和解决患者特异性和上下文障碍至关重要.
- 初级保健提供者在促进遵守慢性疼痛管理计划方面发挥着作用.
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