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青少年在日常生活中如何体验和应对疼痛:一项关于应对方式及非处方镇痛药使用情况的定性研究

How adolescents experience and cope with pain in daily life: a qualitative study on ways to cope and the use of over-the-counter analgesics.

作者信息

Lagerløv Per, Rosvold Elin Olaug, Holager Tanja, Helseth Sølvi

机构信息

The Medical Faculty, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.

Regional Medicines Information and Pharmacovigilance Centre, The University Hospital Oslo, Oslo, Norway.

出版信息

BMJ Open. 2016 Mar 1;6(3):e010184. doi: 10.1136/bmjopen-2015-010184.

Abstract

OBJECTIVE

The aim of this study was to describe how different adolescents experience and manage pain in their daily life, with a focus on their use of over-the-counter analgesics. More specifically, the aim was to explore different patterns among the adolescents in pain descriptions, in the management of pain, in relationships with others, and in their daily life.

DESIGN

Qualitative semistructured interviews on experiences with pain, pain management and involvement of family and friends during pain. Pain and stress management strategies and attachment theory will be in focus for interpretations.

PARTICIPANTS AND SETTING

25 participants aged 15-16-years from six different junior high schools, both genders, with and without immigrant background were interviewed at their local schools in Norway.

RESULTS

We identified 4 groups of adolescents with similarities in attitudes and management strategies to pain: 'pain is manageable', 'pain is communicable', 'pain is inevitable' and 'pain is all over'. The participants within each group differed in how they engaged their parents in pain; how they perceived, communicated and managed pain; and how they involved emotions and used over-the-counter analgesics.

CONCLUSIONS

The adolescents' different involvement with the family during pain related to their pain perception and management. Knowledge of the different ways of approaching pain is important when supporting adolescents and may be a subject for further research on the use of over-the-counter analgesics in the family.

摘要

目的

本研究旨在描述不同青少年在日常生活中如何体验和应对疼痛,重点关注他们对非处方镇痛药的使用情况。更具体地说,目的是探索青少年在疼痛描述、疼痛管理、与他人关系以及日常生活方面的不同模式。

设计

关于疼痛经历、疼痛管理以及疼痛期间家人和朋友参与情况的定性半结构化访谈。疼痛和压力管理策略以及依恋理论将作为解释的重点。

参与者和背景

从挪威当地的六所不同初中选取了25名年龄在15至16岁之间的参与者,涵盖不同性别,有移民背景和无移民背景。

结果

我们识别出4组在疼痛态度和管理策略上具有相似性的青少年:“疼痛可控制”、“疼痛可交流”、“疼痛不可避免”和“浑身是痛”。每组参与者在让父母参与疼痛的方式、对疼痛的感知、交流和管理方式以及情感参与和使用非处方镇痛药的方式上存在差异。

结论

青少年在疼痛期间与家人的不同参与方式与他们对疼痛的感知和管理有关。了解应对疼痛的不同方式对于支持青少年很重要,并且可能是家庭中非处方镇痛药使用方面进一步研究的主题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d773/4785298/1bd5b214da3f/bmjopen2015010184f01.jpg

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