Monsivais Diane B, Engebretson Joan C
University of Texas at El Paso School of Nursing, El Paso, Texas 79968, USA.
J Holist Nurs. 2012 Sep;30(3):188-94. doi: 10.1177/0898010112440885. Epub 2012 Jun 19.
To describe the beliefs and attitudes about self-identity and pain medication in a sample of Mexican American women with chronic pain living in the El Paso, Texas, area. The findings are drawn from a larger qualitative study of 15 women describing the expression and communication of chronic pain symptoms, pain-related cultural beliefs, decision making, and treatment preferences of chronic pain.
Participants who had chronic pain syndromes for at least 1 year were recruited from a pain clinic and fibromyalgia support group. In-depth, open-ended interviews, fieldwork, and participant observation were used to gather information using a focused clinical ethnographic approach. Interviews were audiotaped and transcribed verbatim.
A shared central theme was controlling the use of pain medications to control perceived negative associations with pain medication. The negative associations resulted in women rejecting use of medication to preserve their legitimate identity. This perception can be destructive and can lead to poor pain control.
Providing patients with anticipatory guidance about common barriers to taking pain medication may allow medication use consistent with improved pain control.
描述居住在得克萨斯州埃尔帕索地区患有慢性疼痛的墨西哥裔美国女性样本中关于自我认同和止痛药物的信念与态度。这些发现源自一项针对15名女性的更大规模定性研究，该研究描述了慢性疼痛症状的表达与交流、与疼痛相关的文化信念、决策制定以及慢性疼痛的治疗偏好。
从疼痛诊所和纤维肌痛支持小组招募患有慢性疼痛综合征至少1年的参与者。采用聚焦临床人种学方法，通过深入的开放式访谈、实地调查和参与观察来收集信息。访谈进行录音并逐字转录。
一个共同的核心主题是控制止痛药物的使用，以控制与止痛药物相关的负面认知。这些负面认知导致女性拒绝使用药物以维护其合法身份。这种认知可能具有破坏性，并可能导致疼痛控制不佳。
向患者提供关于服用止痛药物常见障碍的预期指导，可能会使药物使用与改善疼痛控制相一致。
