美国印第安人和阿拉斯加原住民的疼痛管理经验及认知行为策略的可接受性
Pain Management Experiences and the Acceptability of Cognitive Behavioral Strategies Among American Indians and Alaska Natives.
作者信息
Haozous Emily A, Doorenbos Ardith Z, Stoner Susan
机构信息
University of New Mexico, Albuquerque, NM, USA
University of Washington, Seattle, WA, USA.
出版信息
J Transcult Nurs. 2016 May;27(3):233-40. doi: 10.1177/1043659614558454. Epub 2014 Nov 17.
PURPOSE
The purpose of this project was to explore the chronic pain experience and establish cultural appropriateness of cognitive behavioral pain management (CBPM) techniques in American Indians and Alaska Natives (AI/ANs).
DESIGN
A semistructured interview guide was used with three focus groups of AI/AN patients in the U.S. Southwest and Pacific Northwest regions to explore pain and CBPM in AI/ANs.
FINDINGS
The participants provided rich qualitative data regarding chronic pain and willingness to use CBPM. Themes included empty promises and health care insufficiencies, individuality, pain management strategies, and suggestions for health care providers.
CONCLUSION
Results suggest that there is room for improvement in chronic pain care among AI/ANs and that CBPM would likely be a viable and culturally appropriate approach for chronic pain management.
IMPLICATIONS
This research provides evidence that CBPM is culturally acceptable and in alignment with existing traditional AI/AN strategies for coping and healing.
目的
本项目的目的是探索美国印第安人和阿拉斯加原住民（AI/ANs）的慢性疼痛经历，并确定认知行为疼痛管理（CBPM）技术在文化上的适宜性。
设计
使用半结构化访谈指南，对美国西南部和太平洋西北地区的三个AI/AN患者焦点小组进行访谈，以探讨AI/ANs的疼痛和CBPM。
结果
参与者提供了关于慢性疼痛和使用CBPM意愿的丰富定性数据。主题包括空洞的承诺和医疗保健不足、个体性、疼痛管理策略以及对医疗保健提供者的建议。
结论
结果表明，AI/ANs的慢性疼痛护理仍有改进空间，CBPM可能是一种可行且符合文化习惯的慢性疼痛管理方法。
启示
本研究提供了证据，表明CBPM在文化上是可接受的，并且与AI/ANs现有的传统应对和康复策略相一致。
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