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女性慢性疼痛的生活经历:性别化苦难的面孔

Women's Lived Experiences of Chronic Pain: Faces of Gendered Suffering.

作者信息

Arman Maria, Gebhardt Anja, Hök Nordberg Johanna, Andermo Susanne

机构信息

Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.

Karolinska Institutet, Department of Physiology and Pharmacology, Stockholm, Sweden.

出版信息

Qual Health Res. 2020 Apr;30(5):772-782. doi: 10.1177/1049732319888478. Epub 2019 Nov 21.

Abstract

Women are overrepresented in pain rehabilitation. They seem to be more exposed to comorbidity between mental illness and diseases of the musculoskeletal system than men, implying that besides biopsychosocial factors, gender relations and cultural context should be considered. The aim of the study is to understand the lived experience of women with chronic pain from a caring science and gender perspective. Gadamerian philosophical hermeneutics has been used to analyze interviews from 21 women living with chronic pain in Sweden. The hermeneutical process revealed intertwined experiences of overperformance, loneliness, pain, and exhaustion. Women's experience of an overwhelming life situation and the significance of mutual dependency seem to be central to health and suffering in women with chronic pain. We suggest, contemporary health care to acknowledge women's health and suffering in relation to their life situation and prevailing gender roles.

摘要

在疼痛康复领域,女性所占比例过高。她们似乎比男性更容易出现精神疾病与肌肉骨骼系统疾病的共病情况,这意味着除了生物心理社会因素外,还应考虑性别关系和文化背景。本研究的目的是从关怀科学和性别视角理解慢性疼痛女性的生活经历。伽达默尔哲学诠释学被用于分析对瑞典21名慢性疼痛女性的访谈。诠释过程揭示了过度表现、孤独、疼痛和疲惫等相互交织的经历。女性对压倒性生活状况的体验以及相互依赖的重要性似乎是慢性疼痛女性健康和痛苦的核心。我们建议,当代医疗保健应承认女性在其生活状况和普遍性别角色方面的健康和痛苦。

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