Slade School of Fine Art, University College London, Gower Street, London WC1E 6BT, UK.
Int J Surg. 2010;8(2):144-50. doi: 10.1016/j.ijsu.2009.11.014. Epub 2010 Jan 9.
To ascertain the influence of images depicting different qualities of pain on unselected outpatient pain clinic consultations.
A resource of 64 colour images depicting different qualities of pain was given to patients in clinic waiting rooms, which they could take into consultations and use as a focus for discussion with clinicians. A questionnaire enquiring into the value of such images was completed at the end of each consultation separately and anonymously by clinicians and patients. The questionnaires carried identifiers that allowed pairing in the analysis, which was undertaken qualitatively and thematically.
Forty-four percent (20/45) of Pain Clinics declaring an interest in taking part in the study returned 64/80 (80%) pairs of questionnaires. Eighty-six percent (54) of patients related their pain to at least one image during their consultation and 67% found discussion of the images facilitated dialogue. Eighty two percent of clinicians reported improved communication as a result of the images with 78% reporting degrees of greater understanding of patients' pain. The four main themes identified in analysis of questionnaire data included: a broadening of verbal dialogue; a sense of improved clinician-patient relationship; limitations of setting (time); a variety of practical benefits for future use. The most prominent effect was that the images appeared to encourage discussion of the affective elements of the pain experience.
The results suggest that introducing a focus of images of pain into unselected pain consultations can facilitate discussion and lead to more fruitful dialogue between patients and clinicians.
确定展示不同疼痛质量的图像对未经选择的门诊疼痛诊所咨询的影响。
将 64 张彩色图像资源展示给候诊室的患者，他们可以将其带入咨询中，并将其用作与临床医生讨论的焦点。在每次咨询结束时，临床医生和患者分别匿名填写一份询问此类图像价值的问卷。这些问卷带有标识符，可在分析中进行配对，分析采用定性和主题分析方法。
44%（20/45）表示有兴趣参与研究的疼痛诊所返回了 64/80（80%）对问卷。86%（54）的患者在咨询期间将其疼痛与至少一张图像相关联，67%的患者发现讨论图像有助于对话。82%的临床医生表示图像改善了沟通，78%的医生报告说对患者疼痛的理解程度有所提高。问卷数据分析中确定的四个主要主题包括：口头对话的扩大；临床医生-患者关系的改善感；环境限制（时间）；未来使用的各种实际好处。最突出的影响是图像似乎鼓励了对疼痛体验情感要素的讨论。
结果表明，在未经选择的疼痛咨询中引入疼痛图像焦点可以促进讨论，并在患者和临床医生之间建立更富有成效的对话。
