Cancer pain: Voices of the Ojibway people
Cancer pain: Voices of the Ojibway people
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DOI：
10.1016/j.jpainsymman.2005.04.008
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发表时间：
2005-11-01
影响因子：
4.7
通讯作者：
Barkwell, D
中科院分区：
文献类型：
--
作者：
Barkwell, D
认识到疼痛的感觉维度与文化因素的整合有可能提高疼痛患者与其医疗保健提供者之间的临床接触质量。本定性研究采用扎根理论的方法来描述癌症疼痛的概念化从18 Ojibway患者，家庭照顾者，和治疗师/医药男子从一个储备社区和13名卫生专业人员（护士和医生）从邻近该储备医院。结果显示，对于Ojibway参与者来说，癌症疼痛是生活中最痛苦的事情。与健康专业人士不同，他们将疼痛的性质描述为身体感觉，威胁性认知，情感，社会和精神痛苦以及直觉感知等维度的无缝交织。这些Ojibway关于癌症疼痛的声音提醒我们，在疼痛的构建中，文化是相互关联的，并警告我们要扩大我们在临床遇到的局限性。
Recognition of the integration of sensory dimensions of Pain with cultural factors has the potential to improve the quality of the clinical encounter between those in pain and their health care providers. This qualitative study used a grounded theory approach to describe the conceptualization of cancer Pain from 18 Ojibway patients, family caregivers, and healers/medicine men from a Reserve community and 13 health professionals (nurses and physicians) from a hospital adjacent to this Reserve. Results revealed that for Ojibway participants, cancer pain epitomized all that was most painful in life. Unlike health professionals, they described the properties of pain as a seamless intertwining of the dimensions of physical sensation, threatening cognitions, emotional, social and spiritual anguish, and intuitive sensing. These Ojibway voices on cancer pain remind us of the interrelatedness of culture in the construction of pain and caution us to broaden the restricted focus we bring to the clinical encounter.