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与慢性疼痛相伴的日常煎熬:一项应用诠释学探索

The Daily Grind of Living With Chronic Pain: An Applied Hermeneutic Exploration.

作者信息

Hovey Richard B

机构信息

McGill University, Montreal, QC, Canada.

出版信息

Glob Qual Nurs Res. 2023 Jan 10;10:23333936221148591. doi: 10.1177/23333936221148591. eCollection 2023 Jan-Dec.

DOI:10.1177/23333936221148591
PMID:36644372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9834916/
Abstract

The purpose of this research is to explore the philosophy regarding understanding the complex experience of living with chronic pain. As well, this article addresses a person's suffering as an evolving process of learning to not only manage pain but to learn how to live well through exploring their suffering narrative. A hermeneutical interpretive approach was used to engage participants in this research and to offer a philosophical reinterpretation of living with chronic pain from a humanistic and tacit perspective. This work is offered to invite and extend our discussions about the complexity of living with chronic pain. It can also be understood as a process of rewriting oneself from a lived chaotic state of pain into a new affective historical consciousness. This transition from acute to chronic pain explored through a philosophical context can provide insight into the ways in which patients learn to live well with their condition.

摘要

本研究的目的是探索关于理解慢性疼痛患者复杂经历的理念。此外,本文将人的痛苦视为一个不断演变的过程,即不仅要学会应对疼痛,还要通过探索自身的痛苦经历学会如何更好地生活。本研究采用诠释性解释方法,让参与者参与其中,并从人文和隐性的角度对慢性疼痛患者的生活进行哲学层面的重新诠释。此项工作旨在引发并拓展我们对慢性疼痛患者生活复杂性的讨论。它也可被理解为一个将自身从痛苦的混乱生活状态重写为新的情感历史意识的过程。通过哲学背景探索从急性疼痛到慢性疼痛的这种转变,可以深入了解患者学会与自身状况和谐共处的方式。

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本文引用的文献

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Enriching Clinical Encounters Through Qualitative Research.通过定性研究丰富临床诊疗体验
J Patient Exp. 2022 Feb 16;9:23743735221077536. doi: 10.1177/23743735221077536. eCollection 2022.
2
A Healing Journey with Chronic Pain: A Meta-Ethnography Synthesizing 195 Qualitative Studies.慢性疼痛的疗愈之旅:综合 195 项定性研究的元民族志。
Pain Med. 2021 Jun 4;22(6):1333-1344. doi: 10.1093/pm/pnaa373.
3
A Reconceptualization of the Negative Self-Stereotyping of the Patient-Partner to the Introduction of the Patient Perspective Consultant.将患者-伴侣的消极自我刻板印象重新概念化,引入患者视角顾问。
Perm J. 2020 Dec;24:1-3. doi: 10.7812/TPP/20.006.
4
Living With a Trifecta of Pain and Cancer With Personal Reflections of COVID-19.与疼痛和癌症的三重困境共存以及对新冠疫情的个人反思
J Patient Exp. 2020 Oct;7(5):645-647. doi: 10.1177/2374373520956874. Epub 2020 Sep 9.
5
Life with chronic pain during COVID-19 lockdown: the case of patients with small fibre neuropathy and chronic migraine.慢性疼痛与新冠疫情封锁期间的生活:小纤维神经病和慢性偏头痛患者的案例。
Neurol Sci. 2021 Feb;42(2):389-397. doi: 10.1007/s10072-020-04890-9. Epub 2020 Nov 17.
6
Patients with chronic pain: evaluating depression and their quality of life in a single center study in Greece.慢性疼痛患者:在希腊的单中心研究中评估抑郁和他们的生活质量。
BMC Psychol. 2019 Dec 21;7(1):86. doi: 10.1186/s40359-019-0366-0.
7
Impact of Chronic Pain on Patients' Quality of Life: A Comparative Mixed-Methods Study.慢性疼痛对患者生活质量的影响:一项比较性混合方法研究。
J Patient Exp. 2019 Jun;6(2):133-141. doi: 10.1177/2374373518786013. Epub 2018 Jul 5.
8
Narrative medicine as a medical education tool: A systematic review.叙事医学作为一种医学教育工具:系统评价。
Med Teach. 2019 Jul;41(7):802-810. doi: 10.1080/0142159X.2019.1584274. Epub 2019 Apr 14.
9
Occasionally a Patient: Always a Person.偶尔是患者,永远是个人。
J Patient Exp. 2018 Mar;5(1):63-64. doi: 10.1177/2374373517726074. Epub 2017 Sep 6.
10
Chronic pain and suicide risk: A comprehensive review.慢性疼痛与自杀风险:一项全面综述。
Prog Neuropsychopharmacol Biol Psychiatry. 2018 Dec 20;87(Pt B):269-280. doi: 10.1016/j.pnpbp.2017.08.020. Epub 2017 Aug 26.