Maly Angelika, Singh Navdeep, Vallerand April Hazard
Wayne State University College of Nursing, Detroit, Michigan.
Wayne State University College of Nursing, Detroit, Michigan.
Pain Manag Nurs. 2018 Feb;19(1):72-78. doi: 10.1016/j.pmn.2017.11.007.
The experience of cancer pain is poorly understood from the perspective of African Americans, who experience higher levels of pain, more pain-related distress, and poorer function than Caucasians. Decreased perceived control over pain may play a greater role for African American patients, affecting pain-related distress and function. The purpose of this study was to add to the understanding of cancer pain and perceived control over pain in African Americans, from the patients' perspective. This qualitative inquiry was part of a larger mixed-methods study testing an intervention to improve pain, pain-related distress, and functional status through increasing perceived control over pain. Participants were recruited from the waiting room of an urban comprehensive cancer and interviewed in their homes. Interviews with 18 adult cancer patients who self-identified as African American and reported experiencing moderate to severe pain (>4 on a 0-10 scale) within the past two weeks were included. Qualitative interviews were audiotaped, transcribed, and analyzed using a constant comparative method. Two major themes emerged from this qualitative inquiry: struggles of the chronic pain experience and benefits of perceived control over pain. Each theme contained several categories. The study unveiled the participants account of both struggles of the chronic pain experience and barriers of perceived control that can be assessed for and targeted in nursing intervention. Benefits to having perceived control over pain were also illustrated in the participants' narratives.
从非裔美国人的角度来看，癌症疼痛的体验还未得到充分理解。与白人相比，他们经历着更强烈的疼痛、更多与疼痛相关的痛苦，以及更差的身体功能。对疼痛感知控制的降低可能对非裔美国患者起着更大的作用，影响着与疼痛相关的痛苦和身体功能。本研究的目的是从患者的角度增进对非裔美国人癌症疼痛及疼痛感知控制的理解。这项定性研究是一项更大规模的混合方法研究的一部分，该研究测试了一种通过增强对疼痛的感知控制来改善疼痛、与疼痛相关的痛苦及功能状态的干预措施。参与者从城市综合癌症中心的候诊室招募，并在他们家中进行访谈。纳入了18名自我认定为非裔美国人且报告在过去两周内经历中度至重度疼痛（0至10分制中>4分）的成年癌症患者。定性访谈进行了录音、转录，并采用持续比较法进行分析。这项定性研究得出了两个主要主题：慢性疼痛经历的挣扎以及对疼痛感知控制的益处。每个主题包含几个类别。该研究揭示了参与者对慢性疼痛经历的挣扎以及感知控制障碍的描述，这些可在护理干预中进行评估并作为目标。参与者的叙述中也阐述了对疼痛具有感知控制的益处。
