“我可以坐下来和她交谈”：原住民、慢性腰痛与医护人员沟通
'I can sit and talk to her': Aboriginal people, chronic low back pain and healthcare practitioner communication.
作者信息
Lin Ivan, O'Sullivan Peter, Coffin Juli, Mak Donna B, Toussaint Sandy, Straker Leon
机构信息
BSc (Physiotherapy), MManip Ther, PhD, Assistant Professor, Western Australia Centre for Rural Health, University of Western Australia; and School of Physiotherapy, Curtin University, Perth, WA.
出版信息
Aust Fam Physician. 2014 May;43(5):320-4.
BACKGROUND
Chronic low back pain (CLBP) is a complex issue to manage in primary care and under-researched in Aboriginal populations. Good communication between practitioners and patients is essential but difficult to achieve. This study examined communication from the perspective of Aboriginal people with CLBP in regional and remote Western Australia.
METHODS
Qualitative, in-depth interviews were conducted with 32 adults with CLBP who identify as Aboriginal. The approach and analysis were informed by clinical ethnography and cultural security.
RESULTS
Barriers to communication related to communication content, information that was not evidence-based, miscommunications, communicative absence and the use of medical jargon. Enablers related to communication style described as 'yarning', a two-way dialogue, and healthcare practitioners with good listening and conversational skills.
DISCUSSION
Health practitioners need to consider communication content and style to improve interactions with Aboriginal people with CLBP. A 'yarning' style may be a useful framework. Findings may be pertinent to other populations.
背景
慢性下腰痛（CLBP）在初级医疗保健中是一个复杂的管理问题，且在原住民群体中的研究不足。从业者与患者之间良好的沟通至关重要，但却难以实现。本研究从西澳大利亚州地区和偏远地区患有CLBP的原住民的角度审视了沟通情况。
方法
对32名自认为是原住民的患有CLBP的成年人进行了定性深入访谈。该方法和分析以临床人种学和文化安全为依据。
结果
沟通障碍涉及沟通内容、非循证信息、沟通失误、沟通缺失以及医学术语的使用。促成因素涉及被描述为“聊天”的沟通方式、双向对话，以及具备良好倾听和对话技巧的医疗从业者。
讨论
医疗从业者需要考虑沟通内容和方式，以改善与患有CLBP的原住民的互动。“聊天”方式可能是一个有用的框架。研究结果可能与其他人群相关。
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