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从慢性疼痛患者和健康专业人员的角度探索驾驶行为。

Exploring driving behaviour from the perspectives of individuals with chronic pain and health professionals.

作者信息

Vaezipour Atiyeh, Andrews Nicole, Oviedo-Trespalacios Oscar, Amershi Fatima, Horswill Mark, Johnston Venerina, Delhomme Patricia

机构信息

RECOVER Injury Research Centre, The University of Queensland, Australia.

RECOVER Injury Research Centre, The University of Queensland, Australia; Tess Cramond Pain and Research Centre, Metro North Hospital and Health Service, Queensland, Australia; Occupational Therapy Department, The Royal Brisbane and Women's Hospital, Queensland, Australia.

出版信息

Appl Ergon. 2022 Jul;102:103755. doi: 10.1016/j.apergo.2022.103755. Epub 2022 Apr 2.

Abstract

Chronic pain affects one in five Australians, and this could impact daily activities such as driving. Driving is a complex task, which requires the cognitive and physical ability to predict, identify, and respond to hazards to avoid crashing. However, research exploring the factors that influence safe driving behaviour for chronic pain individuals is limited. A qualitative study was conducted which involved semi-structured interviews with 23 people who had experienced persistent pain for at least three months and 17 health professionals who had experience working with individuals with chronic pain. The aim of this study was to obtain a deeper understanding of the experiences and challenges that people with chronic pain may have in their day-to-day driving. Participants were also asked about currently available driving assessments and strategies for individuals with chronic pain in the Australian healthcare system. The themes emerging from the interviews highlighted the need for clearer guidelines and educational materials regarding the impact of chronic pain on an individual's ability to drive. These themes included the physical and cognitive challenges resulting from chronic pain, as well as the potential side effects of pain medications. In addition, participants identified a number of self-regulation strategies and driving assessments currently available for monitoring safe driving behaviour in Australia. This study improves our understanding of how chronic pain affects driving behaviour, as reported by individuals experiencing the pain and relevant health professionals. Recommendations for improving the safety of drivers with chronic pain are discussed, including possible technological interventions and better public education.

摘要

慢性疼痛影响着五分之一的澳大利亚人,这可能会影响诸如驾驶等日常活动。驾驶是一项复杂的任务,需要具备认知和身体能力来预测、识别并应对危险以避免撞车。然而,探索影响慢性疼痛患者安全驾驶行为因素的研究有限。开展了一项定性研究,对23名经历持续疼痛至少三个月的人和17名有与慢性疼痛患者合作经验的健康专业人员进行了半结构化访谈。本研究的目的是更深入地了解慢性疼痛患者在日常驾驶中可能遇到的经历和挑战。参与者还被问及澳大利亚医疗系统中目前针对慢性疼痛患者的驾驶评估和策略。访谈中出现的主题强调了需要有更清晰的关于慢性疼痛对个人驾驶能力影响的指导方针和教育材料。这些主题包括慢性疼痛导致的身体和认知挑战,以及止痛药物的潜在副作用。此外,参与者还指出了澳大利亚目前可用于监测安全驾驶行为的一些自我调节策略和驾驶评估。本研究增进了我们对慢性疼痛如何影响驾驶行为的理解,这些理解来自经历疼痛的个人以及相关健康专业人员的报告。讨论了改善慢性疼痛患者驾驶安全性的建议,包括可能的技术干预措施和更好的公众教育。

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