THE MANAGEMENT OF SICKLE-CELL CRISIS PAIN AS EXPERIENCED BY PATIENTS AND THEIR CARERS
THE MANAGEMENT OF SICKLE-CELL CRISIS PAIN AS EXPERIENCED BY PATIENTS AND THEIR CARERS
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DOI：
10.1111/j.1365-2648.1994.tb01144.x
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发表时间：
1994-04-01
影响因子：
3.8
通讯作者：
THOMAS, VJ
中科院分区：
文献类型：
--
作者：
ALLEYNE, J;THOMAS, VJ
本研究旨在提供深入了解个人的经验与镰状细胞疾病和护士参与管理痛苦的镰状细胞危机。样本包括10名患者谁经历了住院治疗的疼痛管理镰状细胞危象和10名护士谁照顾病人在这种危机。收集数据的方法采用了小组和个人访谈相结合的方式，利用了“引导式谈话方法”。数据分析包括转录访谈的内容分析，导致以下几类问题的识别：疼痛管理不善，焦虑度冷丁，失控，缺乏个性和发挥。结果显示，镰状细胞危象期间的疼痛控制往往不足，护士承认他们经常不得不采取“试错”策略来管理疼痛。研究结果进行了讨论的态度和知识因素和个性化的疼痛管理方法。
This study sought to provide insights into the personal experiences of individuals with sickle cell disorder and nurses involved in the management of painful sickle cell crisis. The sample consisted of 10 patients who experienced hospitalization for the management of pain during sickle cell crisis and 10 nurses who have cared for patients during such crises. The method of data collection used a combination of group and individual interviews, utilizing a 'guided conversation approach'. Data analysis consisted of content analysis of transcribed interviews which resulted in the identification of the following categories of problems: poor pain management, anxieties about pethidine, loss of control, lack of individuality and playing up. The results revealed that pain control during sickle cell crisis is often inadequate, with nurses admitting that they often have to resort to 'trial and error' strategy to manage pain. The findings are discussed in terms of attitudinal and knowledge factors and an individualized approach to pain management.