Coping with Pain in the Face of Healthcare Injustice in Patients with Sickle Cell Disease.

Coping with Pain in the Face of Healthcare Injustice in Patients with Sickle Cell Disease.
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DOI:
10.1007/s10903-016-0432-0
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发表时间:
2017-12
影响因子:
1.9
通讯作者:
Wilkie, Diana J.
Wilkie, Diana J.
中科院分区:
医学4区
文献类型:
--
作者:
Ezenwa, Miriam O.;Yao, Yingwei;Molokie, Robert E.;Wang, Zaijie Jim;Mandernach, Molly W.;Suarez, Marie L.;Wilkie, Diana J.

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To evaluate the pain coping strategies of patients with sickle cell disease (SCD) who experience healthcare injustice from either physicians or nurses during medical visits for pain management. It is unknown how patients’ coping with pain relates to their experiences of healthcare injustice from physicians or nurses. This descriptive comparative study included adult outpatients with SCD who completed the PAINReportIt®, Healthcare Justice Questionnaire©, and Coping Strategies Questionnaire-SCD. Data were analyzed using independent t tests. Frequent coping strategies of patients who experienced healthcare justice from physicians were praying-hoping and from nurses were praying-hoping, calming self-statements, diverting attention, and increasing behavioral activity. In contrast, frequent coping strategies of patients who experienced healthcare injustice from physicians were catastrophizing and isolation and from nurses were isolation. Patients who experienced healthcare justice used different sets of pain coping strategies than those who experienced healthcare injustice during medical visits for pain management.
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