Pain Assessment and Clinical Decision Making

疼痛评估和临床决策

• 批准号: 7113659
• 负责人: ADAM T HIRSH
• 金额: $ 2.87万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7113659
• 关键词: attitude; behavioral /social science research tag; clinical research; cues; data collection; decision making; gender difference; human subject; nurses; pain threshold; perception; physicians; predoctoral investigator; questionnaires

DESCRIPTION (provided by applicant): Pain remains a misunderstood and mistreated symptom of acute and chronic illness. More than 80% of pain sufferers receive insufficient pain relief, largely due to excessively conservative pharmacological treatment (WHO, 1986). This overly conservative approach likely results from inadequate knowledge and inappropriate attitudes on the part of health care providers about pain and its treatment. Previous laboratory and clinical studies suggest the importance of sex on pain assessments (Robinson & Wise, in press). This proposal aims to explore the influence of sex and gender stereotypes on pain assessments and treatment strategies in a heterogeneous sample of nurses. The proposed study will improve upon past investigations by employing a lens model design. This design will include a combination of case vignettes and video still frames of "patients" that will be rated along two dimensions: (1) pain, and (2) likelihood of implementing specific pain management practices. Gender stereotype attitudes will also be assessed and analyzed with pain ratings and intervention endorsements to determine their impact on assessments and decision-making. This study will have clear implications for clinical practice and may lead to more concerted education efforts regarding gender differences and treatment practices in pain patients.

描述(申请人提供)：疼痛仍然是急性和慢性病的一种被误解和虐待的症状。超过80%的疼痛患者没有得到足够的疼痛缓解，这主要是由于过度保守的药物治疗(WHO，1986)。这种过于保守的方法可能是由于卫生保健提供者对疼痛及其治疗的知识不足和不适当的态度造成的。以前的实验室和临床研究表明，性别对疼痛评估的重要性(Robinson&Wise，正在出版中)。这项建议旨在探讨性别和性别刻板印象对不同样本护士疼痛评估和治疗策略的影响。这项拟议的研究将通过采用透镜模型设计来改进以往的研究。这一设计将包括病例小插曲和“患者”的视频静止帧的组合，将从两个维度对其进行评级：(1)疼痛，(2)实施特定疼痛管理实践的可能性。还将通过疼痛评级和干预认可对性别陈规定型态度进行评估和分析，以确定其对评估和决策的影响。这项研究将对临床实践有明确的影响，并可能导致关于疼痛患者的性别差异和治疗实践的更协调一致的教育努力。