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低收入残疾老年女性的疼痛:一项定性描述性研究。

Pain in low-income older women with disabilities: a qualitative descriptive study.

机构信息

School of Nursing, Johns Hopkins University , Baltimore, Maryland, USA.

Bloomberg School of Public Health, Johns Hopkins University , Baltimore, Maryland, USA.

出版信息

J Women Aging. 2020 Jul-Aug;32(4):402-423. doi: 10.1080/08952841.2020.1763895. Epub 2020 May 31.

DOI:10.1080/08952841.2020.1763895
PMID:32475259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7934966/
Abstract

The purpose of this qualitative study was to identify how low-income older women with disabilities perceive pain, pain management, and communication with healthcare providers. We interviewed 26 low-income women (average age 75 years; SD 7.0), eliciting the following overarching themes: "Invisibility of Pain: Unnoticed or Undetected," "Escalating Pain Leads to Help Seeking," "Communication with Healthcare Providers and Outcomes," "Pain Management Facilitates Function and Accomplishment," and "The Intersection of Pain, Disability, and Depressive Symptoms." Study findings support the ways in which behavior changes from pain can impede pain management.

摘要

本定性研究旨在确定残疾的低收入老年女性如何感知疼痛、管理疼痛以及与医疗保健提供者沟通。我们采访了 26 名低收入女性(平均年龄 75 岁;标准差 7.0),得出以下总体主题:“疼痛的无形性:未被注意或未被发现”、“疼痛加剧导致寻求帮助”、“与医疗保健提供者的沟通和结果”、“疼痛管理促进功能和成就”和“疼痛、残疾和抑郁症状的交集”。研究结果支持了疼痛引起的行为变化会阻碍疼痛管理的方式。

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"Puttin' on": Expectations Versus Family Responses, the Lived Experience of Older African Americans With Chronic Pain.“穿着”:期待与家庭反应,慢性疼痛的老年非裔美国人的生活体验。
J Fam Nurs. 2019 Nov;25(4):533-556. doi: 10.1177/1074840719884560. Epub 2019 Nov 13.
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Distinct clusters of older adults with common neuropsychological symptoms: Findings from the National Health and Aging Trends Study.具有常见神经心理症状的老年人群体的不同聚类:来自国家健康老龄化趋势研究的结果。
Geriatr Nurs. 2020 May-Jun;41(3):222-228. doi: 10.1016/j.gerinurse.2019.09.004. Epub 2019 Oct 16.
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The social construction of disability and the capabilities approach: Implications for nursing.
探究老年非裔美国女性共病疼痛与抑郁的经历及其偏好的管理策略。
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残疾的社会建构与能力方法:对护理的启示
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Pain and Depression: A Systematic Review.疼痛与抑郁:系统综述。
Harv Rev Psychiatry. 2018 Nov/Dec;26(6):352-363. doi: 10.1097/HRP.0000000000000198.
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The Impact of Pain Invisibility on Patient-Centered Care and Empathetic Attitude in Chronic Pain Management.疼痛隐匿性对慢性疼痛管理中以患者为中心的护理和共情态度的影响。
Pain Res Manag. 2018 Sep 24;2018:6375713. doi: 10.1155/2018/6375713. eCollection 2018.
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Australas J Ageing. 2018 Sep;37(3):210-216. doi: 10.1111/ajag.12557. Epub 2018 Jun 26.
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