Centre for Health, Activity, and Rehabilitation Research (CHARR), School of Physiotherapy, University of Otago, Wellington, New Zealand.
Department of Medicine, University of Otago, Wellington, New Zealand.
N Z Med J. 2021 Oct 8;134(1543):19-29.
To explore kaiāwhina (Māori community health workers) perspectives on supporting whānau Māori with chronic pain, and to understand their views on the use of online resources for pain management.
A Māori-centred, qualitative design using focus groups as the primary data collection method. Analysis using the general inductive approach.
Thirteen kaiāwhina working in the Greater Wellington region took part in the focus groups. Four key themes were identified: (1) treatment of chronic pain in primary health relies exclusively on medication, (2) health literacy approaches to pain management are urgently required, (3) Māori have significant unmet need for culturally responsive pain management, and (4) the availability of, and referral practices to, specialist pain services are inadequate for Māori communities.
Current chronic pain management was predominantly biomedical, and educational strategies lack health literacy approaches. Primary health services exclude traditional Māori methods of treating chronic pain and do not focus on whānau wellbeing. The lack of referral for Māori to specialist services highlights the existing health inequities for Māori. Developing new initiatives (both in-person and online) to address chronic pain management for Māori must be Māori-led and co-designed with whānau to result in holistic solutions for Māori.
探讨 kaiāwhina（毛利族社区健康工作者）在支持患有慢性疼痛的毛利族家庭方面的观点，并了解他们对在线资源在疼痛管理中应用的看法。
采用以毛利为中心的定性设计，主要采用焦点小组作为数据收集方法。使用一般归纳方法进行分析。
在惠灵顿大区工作的 13 名 kaiāwhina 参加了焦点小组。确定了四个关键主题：（1）初级卫生保健中慢性疼痛的治疗完全依赖药物，（2）迫切需要健康素养方法来管理疼痛，（3）毛利族在文化上响应的疼痛管理方面有巨大的未满足需求，（4）专科疼痛服务的可用性和转介实践对毛利社区不足。
目前的慢性疼痛管理主要是基于生物医学的，教育策略缺乏健康素养方法。初级卫生服务排除了传统的毛利族治疗慢性疼痛的方法，也不关注家庭的整体健康。毛利族缺乏向专科服务的转介突显了毛利族现有的健康不平等问题。为毛利族制定新的慢性疼痛管理计划（包括面对面和在线的）必须由毛利人领导，并与家庭共同设计，以实现毛利族的整体解决方案。
