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与慢性疼痛相伴:挪威患者在医疗服务方面的经历。

Living with chronic pain: Patients' experiences with healthcare services in Norway.

作者信息

Gjesdal Kine, Dysvik Elin, Furnes Bodil

机构信息

Faculty of Health Sciences University of Stavanger Stavanger Norway.

出版信息

Nurs Open. 2018 May 17;5(4):517-526. doi: 10.1002/nop2.160. eCollection 2018 Oct.

DOI:10.1002/nop2.160
PMID:30338097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6178358/
Abstract

AIM

To explore the experiences with healthcare received by people living with chronic nonmalignant pain in Norway.

DESIGN

A descriptive and explorative qualitative design.

METHODS

A total of 18 individual semistructured interviews was conducted in 2015. Qualitative content analysis was applied.

RESULTS

The findings revealed challenges related to a multifaceted pain condition. Participants described interactions with a supportive health care where being listened to, believed in and experiencing mutual trust were emphasized. When interactions with healthcare professionals made the participants feel insignificant, they found it difficult to express their needs, which seemed to reinforce practical difficulties and unfulfilled expectations and make them lose hope in their recovery. This implies the importance of a holistic understanding of and support for more person-centred practice to accommodate patients' expectations and expressed needs. Here, the nurses have an essential role in having a positive impact on future healthcare services.

摘要

目的

探讨挪威慢性非恶性疼痛患者接受医疗服务的经历。

设计

描述性和探索性定性设计。

方法

2015年共进行了18次个人半结构式访谈。采用定性内容分析法。

结果

研究结果揭示了与多方面疼痛状况相关的挑战。参与者描述了与支持性医疗服务的互动,其中强调了被倾听、被信任和体验相互信任。当与医疗专业人员的互动让参与者感到自己无足轻重时,他们发现很难表达自己的需求,这似乎加剧了实际困难和未实现的期望,并使他们对康复失去希望。这意味着全面理解并支持更以人为本的实践以满足患者期望和表达的需求的重要性。在此,护士在对未来医疗服务产生积极影响方面起着至关重要的作用。

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Methodological challenges in qualitative content analysis: A discussion paper.定性内容分析中的方法学挑战:一篇讨论论文。
Nurse Educ Today. 2017 Sep;56:29-34. doi: 10.1016/j.nedt.2017.06.002. Epub 2017 Jun 17.
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Provider and patient perspectives on opioids and alternative treatments for managing chronic pain: a qualitative study.医疗服务提供者与患者对阿片类药物及慢性疼痛管理替代疗法的看法:一项定性研究
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Patients' Perception of Chronic-Pain-Related Patient-Provider Communication in Relation to Sociodemographic and Pain-Related Variables: A Cross-Sectional Nationwide Study.患者对与慢性疼痛相关的医患沟通的认知及其与社会人口学和疼痛相关变量的关系:一项全国性横断面研究。
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Walking down 'Via Dolorosa' from primary health care to the specialty pain clinic - patient and professional perceptions of inequity in rehabilitation of chronic pain.从初级医疗保健机构到专科疼痛诊所,沿着“苦路”前行——患者与专业人士对慢性疼痛康复中不公平现象的看法。
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