约翰·亨利主义-年长的黑人男性中具有腰部疼痛的种族压力因素
Dottington Fullwood1, Elizabeth Fallon1, Sydney Means1
1Population Sciences Research Program, Mayo Clinic Comprehensive Cancer Center, Jacksonville, FL, USA.
Geriatric nursing (New York, N.Y.)
|July 19, 2024
概括
约翰·亨利主义应对和疼痛灾难化与年长的黑人男性腰部疼痛的疼痛强度有关. 需要进一步的纵向研究来确认这些黑人美国人的发现.
科学领域:
- 健康差异研究 研究健康差异研究
- 慢性疼痛流行病学 慢性疼痛流行病学
- 行为医学是一种行为医学.
背景情况:
- 适应性疼痛应对策略,如约翰·亨利主义,在非西班牙裔黑人群体中没有得到充分研究.
- 腰部疼痛对老年人产生重大影响,特别是在少数群体中.
- 了解应对机制对于有效的疼痛管理干预至关重要.
研究的目的:
- 为了调查约翰·亨利主义,疼痛灾难化,疼痛强度和年长的黑人男性腰部疼痛的功能性表现之间的联系.
- 探索适应性应对在特定人口群体内慢性疼痛管理中的作用.
- 确定文化相关的疼痛管理策略的潜在目标.
主要方法:
- 在佛罗里达州杰克逊维尔,对60名患有腰部疼痛的老年黑人男性进行了横截式的观察性研究.
- 利用自我报告的疼痛强度,背部表现量表,疼痛灾难化量表和约翰·亨利主义积极应对量表.
- 结构方程建模 (SEM) 应用于57个完整的案例,使用R v4.2.0进行统计分析.
主要成果:
- 约翰·亨利主义与较低的疼痛强度有显著的关联 (β = -0.320,p = .038).
- 疼痛灾难化显著与更高的疼痛强度相关 (β = 0.388,p = .007).
- 无论是约翰·亨利主义还是疼痛灾难化都没有在这个群体中与功能性能的显著关联.
结论:
- 约翰·亨利主义和疼痛灾难化与疼痛强度有关,但不是功能性表现,在年长的黑人男性腰部疼痛.
- 强调需要对黑人美国人慢性疼痛应对机制进行文化敏感的研究.
- 建议使用复杂的SEM进行纵向研究,以探索因果关系并为未来的干预提供信息.
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