Anie Kofi A, Dasgupta Tanya, Ezenduka Pauline, Anarado Agnes, Emodi Ifoema
Brent Sickle Cell and Thalassaemia Centre, Imperial College School of Medicine, Brent Sickle Cell and Thalassaemia Centre, London, UK.
Psychol Health Med. 2007 May;12(3):299-304. doi: 10.1080/13548500600984034.
Pain experience, health service utilization and psychological coping in adult patients with sickle cell disease were compared cross-culturally between the UK and Nigeria. Patients in the UK experienced a significantly greater number of pain episodes and of longer duration, with more frequent visits to accident and emergency departments compared with those in Nigeria. The Nigerian patients, on the other hand, applied more psychologically active coping strategies such as distraction to deal with their sickle cell pain in the community. These significant differences are explained in relation to external health locus of control factors including beliefs, and the cost of healthcare in relation to the use of health services. Clinical implications of these findings are also considered.
对英国和尼日利亚成年镰状细胞病患者的疼痛体验、医疗服务利用情况及心理应对方式进行了跨文化比较。与尼日利亚患者相比，英国患者经历的疼痛发作次数显著更多、持续时间更长，且更频繁地前往急诊部门就诊。另一方面，尼日利亚患者采用更多心理积极的应对策略，如分散注意力，以应对社区中的镰状细胞疼痛。这些显著差异与包括信念在内的外部健康控制源因素以及与医疗服务使用相关的医疗成本有关。还考虑了这些研究结果的临床意义。
