患有肝硬化的成年人的多维疼痛经验:一种定性描述性研究
Franklin F F Gorospe1,2,3, David Wong4, Elizabeth Lee4
1Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
Canadian journal of pain = Revue canadienne de la douleur
|December 18, 2025
概括
疼痛对肝硬化患者产生重大影响,影响身体,情感和社会福祉. 目前的疼痛管理策略往往是无效的,突出了改善肝病患者以人为中心的护理的迫切需要.
科学领域:
- 肝病学和疼痛管理
- 质量健康研究 质量健康研究
背景情况:
- 全球肝病发病率正在上升,肝硬化影响数百万.
- 疼痛是肝硬化患者的衰弱症状,但它的主观体验是不了解的.
- 有限的定性数据存在于患有肝硬化的人体验的多维疼痛.
研究的目的:
- 质量地探索患有肝硬化的个体的多维疼痛体验.
- 了解疼痛对这一群体的身体,心理和社会文化影响.
- 确定目前肝硬化疼痛管理策略中的差距.
主要方法:
- 使用半结构面试和简要疼痛清单简单形式进行的定性描述性研究.
- 从多伦多的一家肝病诊所招募的参与者.
- 使用Hsieh和Shannon逐步指导内容分析分析的数据.
主要成果:
- 参与者报告持续的内脏和肌肉骨疼痛,显著影响日常活动和自我护理.
- 疼痛导致心理困扰,疲劳和社会文化挑战,包括破坏社会互动和财务不稳定.
- 药物干预的有效性有限;人们更喜欢正念和休息,对未满足的疼痛管理需求感到丧.
结论:
- 肝硬化的疼痛是多维的,影响生活质量和独立性.
- 目前的疼痛管理方法不足,需要专注于以人为中心的护理.
- 研究结果为为肝硬化患者开发改进的疼痛管理策略提供了关键的见解.
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