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文化和教育对分娩疼痛的影响。

Cultural and educational influences on pain of childbirth.

作者信息

Weisenberg M, Caspi Z

出版信息

J Pain Symptom Manage. 1989 Mar;4(1):13-9. doi: 10.1016/0885-3924(89)90059-6.

DOI:10.1016/0885-3924(89)90059-6
PMID:2703733
Abstract

This study investigated the effects of sociocultural family of origin and educational level on the verbal ratings of pain and pain behavior during childbirth for 83 women. Coping style and extroversion were also measured. It was found that all women rated the pain of childbirth as high. Overall, women from a Middle-Eastern compared with a Western background gave higher ratings of pain and showed more pain behavior. This was found especially for Middle-Eastern women of a low educational background. Overall, low compared with high educational level resulted in higher ratings of pain and more pain behavior. No differences were obtained as a function of extroversion. Middle-Eastern and Western women did not differ in coping style. However, women who had higher monitoring scores rated the pain as less even through no differences were obtained for pain behavior. Sociocultural group of origin as well as other relevant reference groups, such as educational level, are important in determining pain perception and behavior. Combining this information with coping style could lead to an instructional intervention for preparing women for childbirth.

摘要

本研究调查了83名女性的社会文化家庭出身和教育水平对分娩期间疼痛的言语评分及疼痛行为的影响。同时也测量了应对方式和外向性。结果发现,所有女性都将分娩疼痛评为高分。总体而言,与西方背景的女性相比,中东背景的女性对疼痛的评分更高,且表现出更多的疼痛行为。这在教育背景较低的中东女性中尤为明显。总体而言,教育水平低的女性与教育水平高的女性相比,疼痛评分更高,疼痛行为更多。未发现外向性与疼痛评分及疼痛行为存在差异。中东女性和西方女性在应对方式上没有差异。然而,监测得分较高的女性对疼痛的评分较低,尽管在疼痛行为方面未发现差异。社会文化出身群体以及其他相关参照群体,如教育水平,在确定疼痛感知和行为方面很重要。将这些信息与应对方式相结合,可能会形成一种指导干预措施,帮助女性为分娩做好准备。

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