Riley Joseph L, Gilbert Gregg H, Heft Marc W
Division of Public Health Services and Research, College of Dentistry, University of Florida, P.O. Box 100404 HSC, Gainesville, FL 32610-0404, USA.
Pain. 2004 Jan;107(1-2):116-24. doi: 10.1016/j.pain.2003.10.004.
Communication patterns with persons outside the health care system during a pain episode are poorly understood, yet can have a significant influence on patient behavior. This study examined associations between attitudes and beliefs about oral disease and dental care and talking about orofacial pain with laypersons and health care professionals. The subjects were 724 participants in the Florida Dental Care Study, a longitudinal study of oral health among community-dwelling adults. This study used a prospective design with data collected at baseline and the 42-month follow-up using a standardized interview format. Persons with negative attitudes and beliefs were more likely to have talked to a layperson about pain and less likely to have talked to a health care provider. In addition, the attitude that most consistently differentiated between respondents who had communicated only with a layperson from those who had talked to a health care provider was quality of recent visits, a variable representing more of the interpersonal aspects of a health care visit than the eventual outcomes from the treatment received. Our data are consistent with the hypothesis that lay consultation during a pain episode may substitute for formal care for persons with less positive views of the health care system. Intensity ratings and temporal characteristics of pain were also important determinants of these pain-related communication patterns. These findings emphasize the importance of understanding the communication between persons with pain and non-health care professionals, and how these attitudes and communication preferences relate to the management of pain.
在疼痛发作期间与医疗保健系统以外的人交流的模式目前还鲜为人知，但可能对患者行为产生重大影响。本研究调查了关于口腔疾病和牙科护理的态度及信念，以及与非专业人士和医疗保健专业人员谈论口面部疼痛之间的关联。研究对象为佛罗里达牙科护理研究中的724名参与者，该研究是一项针对社区居住成年人口腔健康的纵向研究。本研究采用前瞻性设计，通过标准化访谈形式在基线和42个月随访时收集数据。态度和信念消极的人更有可能与非专业人士谈论疼痛，而与医疗保健提供者交谈的可能性较小。此外，在仅与非专业人士交流的受访者和与医疗保健提供者交谈的受访者之间最能持续区分的态度是近期就诊质量，该变量更多地代表了医疗保健就诊的人际方面，而非所接受治疗的最终结果。我们的数据与以下假设一致：在疼痛发作期间进行非专业咨询可能会替代那些对医疗保健系统看法不太积极的人接受正规护理。疼痛的强度评级和时间特征也是这些与疼痛相关的交流模式的重要决定因素。这些发现强调了理解疼痛患者与非医疗保健专业人员之间交流的重要性，以及这些态度和交流偏好如何与疼痛管理相关。
