Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.
School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Pain Pract. 2023 Jul;23(6):647-663. doi: 10.1111/papr.13226. Epub 2023 Apr 18.
People from minority ethnicities often have a greater impact of chronic pain, are underrepresented at pain services, and may not benefit from treatment to the same extent as dominant cultures. The aim of this study was to review Indian and Chinese cultural views of pain and pain management, as a basis for improving management of chronic pain in migrant populations from these ethnicities.
A systematic review of qualitative studies addressing pain beliefs and experiences involving Indian and Chinese participants was conducted. Thematic synthesis was used to identify themes across the studies, and the quality of the articles was appraised.
Twenty-six articles were included, most of which were appraised as high quality. Five themes were identified: Making meaning of pain described the holistic interpretation of the meaning of pain; Pain is disabling and distressing described the marked physical, psychological, and spiritual impact of pain; Pain should be endured described the cultural expectation to suppress responses to pain and not be a burden; Pain brings strength and spiritual growth described the enrichment and empowerment some people experienced through living with pain, and Management of pain goes beyond a traditional or Western approach described the factors that guided people in their use of healthcare.
The review identified a holistic interpretation and impact of pain in Indian and Chinese populations, with pain management guided by multiple factors that transcended a single cultural framework. Several strength-based management strategies are recommended based on preferences for traditional treatments and respect for Western healthcare.
少数民族人群往往受到慢性疼痛的影响更大，在疼痛服务中代表性不足，并且可能无法像主流文化人群那样从治疗中受益。本研究旨在回顾印度和中国文化对疼痛和疼痛管理的看法，作为改善这些族裔移民人群慢性疼痛管理的基础。
对涉及印度和中国参与者的疼痛信念和体验的定性研究进行了系统综述。采用主题综合法确定研究中的主题，并对文章的质量进行评估。
共纳入 26 篇文章，其中大多数被评为高质量。确定了五个主题：对疼痛的意义的描述描述了对疼痛意义的整体解释；疼痛使人致残和痛苦描述了疼痛对身体、心理和精神的明显影响；应该忍受疼痛描述了抑制对疼痛的反应和不成为负担的文化期望；疼痛带来力量和精神成长描述了一些人通过忍受疼痛所经历的丰富和赋权；疼痛管理超越了传统或西方方法描述了指导人们使用医疗保健的因素。
该综述确定了印度和中国人群对疼痛的整体解释和影响，疼痛管理受到多种因素的指导，这些因素超越了单一的文化框架。根据对传统治疗的偏好和对西方医疗保健的尊重，推荐了几种基于优势的管理策略。
