School of Translation Studies/Center for Medical Humanities in the Developing World, Qufu Normal University, No.5, Yantai Road, Donggang District, Rizhao, 250100, Shandong, China.
BMC Palliat Care. 2020 Aug 3;19(1):116. doi: 10.1186/s12904-020-00625-x.
A large number of the hospice patients have been reported to be with symptoms of pain. Thus, managing the patient's pain is one aspect of hospice care provision. The delivery of pain care services could be facilitated through effective communication. However, little has been done to explore the interactional details of the delivery of pain care services in palliative care.
Conversation analysis is a useful method to explore the interactional details of interaction by hospice care providers and terminally ill patients. Using the method of Conversation Analysis (CA), this study aims to demonstrate how the hospice care provider employs different types of interactional practices to address the patient's pain concerns. The data showed in this study are collected from the Alexander St website http://ctiv.alexanderstreet.com , an educational resource presenting a large collection of psycho-therapeutic videos.
In this study, an illustrative analysis is demonstrated to show the potential of conversation analysis for research on pain talk in palliative care. It has been shown that conversation analysis could contribute to unfolding the interactional details regarding "pain talk" in hospice care settings. Specifically, conversation analysis could provide a detailed description and interpretation of the conversational practices, which are used to construct hospice care provider participation in delivering pain talk. In addition, conversation analysis could also demonstrate the interactional resources by which patients disclose their experiences of physical or spiritual pain to the hospice care provider and the way how the hospice care provider responds to the patient's troubles talk or feelings talk.
This study identifies five types of interactional resources which are used to deal with the patient's pain concerns in hospice care setting. A conversation analytical study of pain talk in hospice care could provide a turn-by-turn description of how the hospice care provider communicates with the terminally ill patient in terms of the patient's pain concerns. The findings in this study could inform how the hospice care provider initiates, delivers and develops a pain talk with the terminally ill patient effectively.
大量临终关怀患者都有疼痛症状。因此，管理患者的疼痛是临终关怀服务的一个方面。有效的沟通可以促进疼痛护理服务的提供。然而，在姑息治疗中，人们很少探讨提供疼痛护理服务的互动细节。
会话分析是一种探索临终关怀提供者与绝症患者互动互动细节的有用方法。本研究采用会话分析（CA）方法，旨在展示临终关怀提供者如何运用不同类型的互动实践来解决患者的疼痛问题。本研究中展示的数据来自 Alexander St 网站 http://ctiv.alexanderstreet.com，这是一个教育资源网站，提供大量心理治疗视频。
本研究展示了一个说明性分析，以展示会话分析在姑息治疗中疼痛谈话研究中的潜力。研究表明，会话分析可以帮助揭示临终关怀环境中“疼痛谈话”的互动细节。具体来说，会话分析可以详细描述和解释用于构建临终关怀提供者参与疼痛谈话的会话实践。此外，会话分析还可以展示患者向临终关怀提供者透露身体或精神疼痛体验的互动资源，以及临终关怀提供者如何回应患者的烦恼谈话或感受谈话的方式。
本研究确定了在临终关怀环境中处理患者疼痛问题的五种类型的互动资源。对临终关怀中疼痛谈话的会话分析可以提供一种逐句描述，说明临终关怀提供者如何与绝症患者就患者的疼痛问题进行沟通。本研究的结果可以为临终关怀提供者如何有效地与绝症患者发起、提供和发展疼痛谈话提供信息。
