Chatchumni Manaporn, Namvongprom Ampaporn, Eriksson Henrik, Mazaheri Monir
School of Nursing, Rangsit University, Pathum Thani, Thailand.
Department of Nursing and Care, The Swedish Red Cross University College, Stockholm, Sweden.
Pain Res Manag. 2016;2016:9580626. doi: 10.1155/2016/9580626. Epub 2016 Dec 1.
Pain management is a core nursing function, and it plays a key role in postoperative care. It is important to understand the cultural context of nursing practices and how this affects effective pain management. The aim of this study was to describe the professional and cultural framework within which pain management is practiced on a Thai surgical ward. Spradley's ethnographic methodology was used. Data were collected through 98.5 hours of field observations and interviews at a surgical ward in Thailand. Three themes were constructed that describe the way Thai nurses practiced pain management: (i) complex communications system to address pain and to respond to it, (ii) the essence of Thai-ness, and (iii) a passive approach to pain management. The results indicate that, in the response to discomfort and pain, better pain management will result if there is a shift from functional to patient-centered care. The nursing culture needs to be further researched and discussed, in order to set priorities in line with the goals of national and international organizations for improving postoperative care and promoting patient comfort.
疼痛管理是护理的核心职能，在术后护理中发挥着关键作用。了解护理实践的文化背景以及这如何影响有效的疼痛管理非常重要。本研究的目的是描述泰国外科病房进行疼痛管理的专业和文化框架。采用了斯普拉德利的民族志方法。通过在泰国一家外科病房进行98.5小时的实地观察和访谈收集数据。构建了三个主题来描述泰国护士进行疼痛管理的方式：（i）处理疼痛并对其做出反应的复杂沟通系统，（ii）泰国特质的本质，（iii）疼痛管理的被动方法。结果表明，在应对不适和疼痛时，如果从功能护理转向以患者为中心的护理，将能实现更好的疼痛管理。需要进一步研究和讨论护理文化，以便根据国家和国际组织改善术后护理和提高患者舒适度的目标确定优先事项。
