Walker J M, Akinsanya J A, Davis B D, Marcer D
Dorset Institute of Higher Education, Poole.
J Adv Nurs. 1989 Mar;14(3):240-7. doi: 10.1111/j.1365-2648.1989.tb01531.x.
This paper is based upon a research project designed to investigate the nursing management of pain in the community. A theoretical framework is described which has been designed to encompass the complexities of different types of pain, individual differences in reaction to pain, and to identify key differences between patients who cope with pain and those who do not. The framework is based on a model of stress, the concept of controllability, and contemporary learning theory. It identifies a unique role for the nurse in pain management and will be used to direct a study into strategies which nurses can use to enhance the coping abilities and resources of elderly patients in the community with pain.
本文基于一项旨在调查社区疼痛护理管理的研究项目。文中描述了一个理论框架，该框架旨在涵盖不同类型疼痛的复杂性、个体对疼痛反应的差异，并确定应对疼痛的患者与未应对疼痛的患者之间的关键差异。该框架基于压力模型、可控性概念和当代学习理论。它确定了护士在疼痛管理中的独特作用，并将用于指导一项关于护士可用于提高社区中疼痛老年患者应对能力和资源的策略的研究。
