Arber Anne
European Institute of Health and Medical Sciences, University of Surrey, Duke of Kent Building, Stag Hill, Guildford, Surrey, GU2 7TE, UK.
Int J Palliat Nurs. 2004 Oct;10(10):491-6. doi: 10.12968/ijpn.2004.10.10.16214.
This article discusses the integrated approaches to pain that have developed within the pain medicine movement and the hospice and palliative care movement. Such approaches blend biomedical, social, emotional and spiritual aspects of the pain experience. However, patients and healthcare staff may hold different beliefs about pain, such as patients having a medical understanding about pain while healthcare practitioners may use concepts such as 'total pain' or 'psychological pain'. Some of the problems related to interpreting an account of pain are discussed and suggestions are made for developing pain assessment, education and research.
本文讨论了在疼痛医学运动以及临终关怀与姑息治疗运动中形成的疼痛综合治疗方法。这些方法融合了疼痛体验中的生物医学、社会、情感和精神层面。然而，患者和医护人员对疼痛可能持有不同的观念，比如患者对疼痛有医学上的理解，而医护人员可能会使用“整体疼痛”或“心理疼痛”等概念。文中讨论了一些与解读疼痛描述相关的问题，并就开展疼痛评估、教育和研究提出了建议。
