Nencini Alessio, Sarrica Mauro, Cancian Renata, Contarello Alberta
Department of Philosophy, Education and Psychology, University of Verona, Verona, Italy
Department of Communication and Social Research, University of Rome 'La Sapienza', Roma, Italy.
Health Promot Int. 2015 Dec;30(4):919-28. doi: 10.1093/heapro/dau027. Epub 2014 May 14.
Pain is a complex issue with many different aspects concerning both sensorial and emotional experience. In recent years, the Health Promoting Hospitals (HPH) network has been encouraging a new vision in health structures, with the aim of reducing any form of pain wherever possible. Following the social representation approach, we explore the concept of 'pain' as it is continuously redefined, constructed and shared among health professionals involved in an HPH project named 'Hospital and District without Pain'. Three hundred and eighty-three professionals (doctors, nurses and local general practitioners referring to the hospital of Rovigo, Italy) were involved in a free association task with the aim of exploring the social representation of pain. Contents were further investigated by means of four focus group discussions. Results suggest that the representation of pain is strongly connected to medical knowledge and to functional aspects of the health practice. Other forms of pain-more relational, psychological or emotional-which do not fall within the aetiopathogenetic system of diagnosis, cannot be managed with the traditional tools of the health practice, and are not perceived to be handled with the professionals' competence. Results will be discussed in relation to general health promotion principles and to a specific initiative on the issue of pain carried out by the HPH-Veneto network.
疼痛是一个复杂的问题，涉及感觉和情感体验等许多不同方面。近年来，健康促进医院（HPH）网络一直在鼓励在卫生机构中树立新的观念，旨在尽可能减少任何形式的疼痛。遵循社会表征方法，我们探讨“疼痛”这一概念，因为它在参与一个名为“无疼痛医院与地区”的HPH项目的卫生专业人员中不断被重新定义、构建和分享。383名专业人员（医生、护士以及意大利罗维戈医院的当地全科医生）参与了一项自由联想任务，旨在探索疼痛的社会表征。通过四次焦点小组讨论对内容进行了进一步调查。结果表明，疼痛的表征与医学知识以及卫生实践的功能方面紧密相连。其他形式的疼痛——更多是关系性、心理性或情感性的疼痛——不属于诊断的病因发病机制系统范畴，无法用卫生实践的传统工具进行处理，并且人们认为专业人员没有能力应对。将结合一般健康促进原则以及HPH - 威尼托网络就疼痛问题开展的一项具体举措来讨论这些结果。
