Davidhizar R, Giger J N
Division of Nursing, Bethel College, Mishawaka, IN, USA.
Int Nurs Rev. 2004 Mar;51(1):47-55. doi: 10.1111/j.1466-7657.2003.00208.x.
This article reviews the literature on the care of clients from diverse cultures who are in pain and provides strategies for care.
Pain is a critical concept for caring for clients and particularly for clients from another culture. Culture shapes the values, beliefs, norms, and practices of individuals, including the ways persons react to pain. Culture affects the assessment and management of pain.
Seven strategies can assist in culturally appropriate assessment and management of pain: (1) utilize assessment tools to assist in measuring pain, (2) appreciate variations in affective response to pain, (3) be sensitive to variations in communication styles, (4) recognize that communication of pain may not be acceptable within a culture, (5) appreciate that the meaning of pain varies between cultures, (6) utilize knowledge of biological variations, and (7) develop personal awareness of values and beliefs which may affect responses to pain.
本文回顾了关于不同文化背景下疼痛患者护理的文献,并提供了护理策略。
疼痛是护理患者的一个关键概念,对于来自其他文化背景的患者尤为重要。文化塑造了个体的价值观、信仰、规范和行为方式,包括人们对疼痛的反应方式。文化会影响疼痛的评估和管理。
七种策略有助于在文化层面进行恰当的疼痛评估和管理:(1)使用评估工具辅助测量疼痛;(2)认识到对疼痛的情感反应存在差异;(3)对沟通方式的差异保持敏感;(4)认识到在某种文化中表达疼痛可能不被接受;(5)理解不同文化中疼痛的含义各不相同;(6)运用生物学差异方面的知识;(7)增强对可能影响疼痛反应的价值观和信仰的个人认知。