Conceptions of pain among Somali women
Conceptions of pain among Somali women
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DOI：
10.1111/j.1365-2648.2006.03838.x
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发表时间：
2006-05-01
影响因子：
3.8
通讯作者：
Söderhamn, O
中科院分区：
文献类型：
--
作者：
Finnström, B;Söderhamn, O
目的：本文报道了一组索马里母亲的疼痛，疼痛的原因，疼痛的行为和疼痛治疗有关自己和他们的家庭members.Background：疼痛和疼痛行为的意义与患者的社会和文化背景下的价值观的研究。文化也为如何治疗和缓解疼痛提供了模式。几项研究报告说，医疗保健专业人员缺乏文化敏感性和能力，导致少数群体获得医疗保健和疼痛治疗的质量较低和较少。然而，大多数关于疼痛和文化的科学文献涉及成年人在美国的美利坚合众国。方法：重点谈话访谈进行了一个方便的样本，9名索马里妇女生活在瑞典，以描述和探索他们的疼痛概念。定性内容分析通过意义浓缩进行。结果：女性对疼痛的定义和原因表达了许多不同的想法。索马里人，尤其是男性，被认为对疼痛要坚忍。这些女性有不同的沟通和缓解疼痛的策略。预计6-8岁以上的儿童能够控制他们的疼痛表达。受访者使用正式和非正式的护理来缓解疼痛。对于一些妇女，咨询心理学家是不是一个文化上可以接受的方式寻求pain relief.Conclusion：护士必须努力提高文化能力，探索如何使医疗服务敏感的文化多元化的群体。护士在教育父母和儿童有关疼痛和充分缓解疼痛的重要性方面发挥着教育作用。所有的医疗服务提供者都应该意识到自己的文化价值观和对人的刻板印象的风险。
Aim: This paper reports a study of a group of Somali mothers' views on pain, the causes of pain, pain behaviour and pain treatment concerning themselves and their family members.Background: Both the meaning of pain and pain behaviour are associated with values in a patient's social and cultural context. Culture also provides models for how to treat and relieve pain. Several studies report a lack of cultural sensitivity and competence among healthcare professionals, resulting in lower quality of and less access to health care and pain treatment for minority groups. However, the majority of the scientific literature on pain and culture concerns adults in the United States of America.Method: Focused conversational interviews were carried out with a convenience sample of nine Somalia women living in Sweden in order to describe and explore their conceptions of pain. Qualitative content analysis was conducted through meaning condensation. The data were collected in 2002-2003.Findings: The women expressed a number of different ideas about definitions and causes of pain. Somalis, especially men, are expected to be stoic about pain. The women had different strategies for communicating about and relieving pain. Children from the ages of 6-8 years upwards were expected to control their pain expression. Respondents used both formal and informal care to relieve pain. For some of the women, consulting a psychologist was not a culturally acceptable way of seeking pain relief.Conclusion: Nurses must strive for increased cultural competence and explore ways to make healthcare services sensitive to culturally diverse groups. Nurses have an educational role in educating parents and children about pain and the importance of sufficient pain relief. All healthcare providers should be aware of their own cultural values and the risk of stereotyping people.