助产士学生对最可怕疼痛的概念理解。
Midwifery students' conceptions of worst imaginable pain.
机构信息
School of Health and Education, University of Skövde, Box 408, SE-541 28 Skövde, Sweden.
出版信息
Women Birth. 2014 Jun;27(2):104-7. doi: 10.1016/j.wombi.2014.01.004. Epub 2014 Mar 3.
BACKGROUND
The Visual Analogue Scale (VAS) is one of the most widely used pain assessment scales in clinical practice and research. However, the VAS is used less frequently in midwifery than in other clinical contexts. The issue of how people interpret the meaning of the VAS endpoints (i.e. no pain and worst imaginable pain) has been discussed. The aim of this study was to explore midwifery students' conceptions of 'worst imaginable pain'.
METHODS
A sample of 230 midwifery students at seven universities in Sweden responded to an open-ended question: 'What is the worst imaginable pain for you?' This open-ended question is a part of a larger study. Their responses underwent manifest content analysis.
RESULTS
Analysis of the midwifery students' responses to the open-ended question revealed five categories with 24 sub-categories. The categories were Overwhelming pain, Condition-related pain, Accidents, Inflicted pain and Psychological suffering.
CONCLUSIONS
The midwifery students' conceptions of 'worst imaginable pain' are complex, elusive and diverse.
背景
视觉模拟评分（VAS）是临床实践和研究中最广泛使用的疼痛评估量表之一。然而，在产科学中，VAS 的使用频率低于其他临床环境。人们对 VAS 端点（即无疼痛和可想象到的最严重疼痛）的含义的解释问题一直存在争议。本研究旨在探讨助产士学生对“可想象到的最严重疼痛”的概念理解。
方法
瑞典七所大学的 230 名助产士学生对一个开放式问题做出了回应：“对你来说，可想象到的最严重疼痛是什么？”这个开放式问题是一个更大研究的一部分。他们的回答经过了明显的内容分析。
结果
对助产士学生对开放式问题的回答进行分析，揭示了五个类别，其中包含 24 个子类别。这些类别是压倒性的疼痛、与病情相关的疼痛、意外、故意造成的疼痛和心理痛苦。
结论
助产士学生对“可想象到的最严重疼痛”的概念理解是复杂的、难以捉摸的和多样化的。
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