难民酷刑幸存者的慢性疼痛治疗的接受性和障碍
Sargun Kaur Virk1, Samantha Tham2, Claudia Hatef1,3
1Department of Anesthesiology, Weill Cornell Medicine, York Avenue, New York, New York.
JAMA network open
|August 28, 2025
概括
那些患有慢性疼痛的难民可以接受治疗, 但语言和保险等系统障碍阻碍了治疗. 应对这些挑战对于改善对弱势群体的护理至关重要.
科学领域:
- 医学人文
- 公共卫生
- 社会学
背景情况:
- 慢性体力疼痛影响了许多受酷刑折磨的难民,
- 了解治疗接受度和障碍是改善这一群体护理的关键.
研究的目的:
- 评估难民酷刑幸存者的慢性体力疼痛治疗的可接受性.
- 确定影响该群体获得治疗的因素.
主要方法:
- 质量研究涉及对25名成年难民酷刑幸存者的专题分析.
- 使用了格尔伯格-安德森医疗保健使用行为模型.
- 对非阿片类止痛药,触发点注射和物理治疗的态度进行评估.
主要成果:
- 所有参与者都接受至少一种治疗方式.
- 可接受性驱动因素包括对医疗保健的信任和缓解疼痛的动机.
- 这些障碍包括语言,文化差异,移民身份,保险,财务和物流问题.
结论:
- 那些经历过酷刑的难民愿意接受治疗.
- 系统性障碍显著阻碍了治疗的利用.
- 解决这些障碍对于改善医疗服务和医疗成果至关重要.
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