Yang Su-Yin, Bogosian Angeliki, Moss-Morris Rona, McCracken Lance M
a Health Psychology Section, Psychology Department, King's College London , Institute of Psychiatry , London , UK.
b Pain Management Clinic , Tan Tock Seng Hospital , Singapore.
Disabil Rehabil. 2016 Aug;38(17):1643-51. doi: 10.3109/09638288.2015.1107635. Epub 2015 Dec 30.
There are very few studies on healthcare providers' experiences of delivering treatment for chronic pain in a Southeast Asian setting. The aims of this study are to understand the experiences of professionals delivering treatment for people with chronic pain in Singapore and identify possible barriers to psychological treatment for this condition within the broader experiences of these professionals.
Healthcare professionals with at least 1-year experience treating chronic pain were recruited and purposefully sampled. Fifteen inductive semi-structured interviews were conducted to explore healthcare professionals' experiences of treating people with chronic pain. Interviews were transcribed verbatim and analysed using thematic analysis.
Four main themes were identified: 'System Barriers', 'Core Beliefs and management of Chronic Pain', 'Engaging Patients in treatment' and 'Creating Awareness for Chronic Pain Management'. Professionals trained in a multidisciplinary approach to pain management were seen as rare. Professionals who could refer patients for psychological treatment do not refer due to costs, and their perception that patients may lack understanding of such a treatment.
Reducing barriers in the access to psychological treatment in settings like Singapore will require a multifaceted approach. Implications for Rehabilitation A multifaceted approach is required to reduce barriers to psychological treatment for chronic pain in settings like Singapore. Educating healthcare professionals on the need for a multidisciplinary approach to chronic pain could help in reducing misconceptions and increase understanding of the benefits of psychological approaches. Utilizing both media and technological platforms as a means to facilitate psychological treatment uptake for chronic pain may be a way forward for a technological savvy generation.
关于医疗服务提供者在东南亚环境中提供慢性疼痛治疗的经验的研究非常少。本研究的目的是了解新加坡为慢性疼痛患者提供治疗的专业人员的经验,并在这些专业人员更广泛的经验范围内确定针对这种情况的心理治疗的可能障碍。
招募并有意抽样了至少有1年慢性疼痛治疗经验的医疗专业人员。进行了15次归纳性半结构化访谈,以探讨医疗专业人员治疗慢性疼痛患者的经验。访谈逐字记录,并使用主题分析法进行分析。
确定了四个主要主题:“系统障碍”、“慢性疼痛的核心信念与管理”、“让患者参与治疗”和“提高对慢性疼痛管理的认识”。接受过疼痛管理多学科方法培训的专业人员很少见。能够为患者转介心理治疗的专业人员由于费用问题以及他们认为患者可能缺乏对这种治疗的理解而不进行转介。
在新加坡这样的环境中减少心理治疗获取方面的障碍需要采取多方面的方法。对康复的启示 在新加坡这样的环境中,需要采取多方面的方法来减少慢性疼痛心理治疗的障碍。对医疗专业人员进行关于慢性疼痛多学科方法必要性的教育有助于减少误解并增加对心理方法益处的理解。利用媒体和技术平台作为促进慢性疼痛心理治疗采用的手段可能是精通技术的一代人的前进方向。