在生物心理社会模型中对头痛疼痛的解释进行上下文化实践建议
Amy C Lang1, Eva C Igler2, Nina G Linneman3
1School of Psychological and Behavioral Sciences, Southern Illinois University Carbondale, Carbondale, IL, USA.
Patient education and counseling
|May 17, 2025
概括
医疗提供者在讨论慢性疼痛的心理因素时应该使用生物心理社会方法. 这种方法提高了患者的满意度,并鼓励继续护理,避免轻蔑的语言.
科学领域:
- 心理学 心理学 心理学
- 医学沟通 医学沟通
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛是一种复杂的疾病,具有生理和心理的组成部分.
- 患者与医疗服务提供者之间的沟通显著影响治疗的坚持和结果.
- 关于心理病因的轻蔑语言可能会导致患者的不满和不信任.
研究的目的:
- 为了确定讨论慢性疼痛心理因素的非轻视的沟通策略.
- 为医疗提供者制定有关此主题的实践建议.
- 改善患者体验,减少疼痛排斥的情况.
主要方法:
- 一项涉及138名新兴成年人 (18-25岁) 的调查研究.
- 参与者被随机分配到阅读一个排斥性或生物心理社会标签,描述患者与提供者关于慢性每日头痛的互动.
- 测量结果包括患者反应,满意度和继续护理的可能性.
主要成果:
- 生物心理社会标签导致了更积极的患者反应,包括更高的满意度和更高的持续护理可能性.
- 暴露于蔑视视图的参与者报告说,他们觉得时间被浪费了,并觉得有义务过度解释他们的痛苦.
- 男性参与者也报告了更多的积极反应.
结论:
- 在生物心理社会框架内对心理病因进行上下文化,可以改善患者对慢性每日头痛疼痛的信息的接收.
- 提供者应采用非排斥性语言和生物心理社会方法来讨论疼痛中的心理因素.
- 实施这些建议可以减少患者体验提供者产生的疼痛解雇.
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