Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Anesthesia, Critical Care and Pain Department, Hospital General Universitario de Valencia, Universitad Europea de Valencia, Valencia, Spain.
Curr Pain Headache Rep. 2023 Sep;27(9):429-436. doi: 10.1007/s11916-023-01125-2. Epub 2023 Jul 5.
Optimal treatment requires a thorough understanding of all factors contributing to pain in the individual patient. In this review, we investigate the influence of cultural frameworks on pain experience and management.
The loosely defined concept of culture in pain management integrates a predisposing set of diverse biological, psychological and social characteristics shared within a group. Cultural and ethnic background strongly influence the perception, manifestation, and management of pain. In addition, cultural, racial and ethnic differences continue to play a major role in the disparate treatment of acute pain. A holistic and culturally sensitive approach is likely to improve pain management outcomes, will better cover the needs of diverse patient populations and help reduce stigma and health disparities. Mainstays include awareness, self-awareness, appropriate communication, and training.
为了实现最佳治疗,需要深入了解导致个体患者疼痛的所有因素。在本次综述中,我们研究了文化框架对疼痛体验和管理的影响。
疼痛管理中文化的概念较为模糊,它整合了一组在群体内共有的不同的生物、心理和社会特征。文化和民族背景强烈影响疼痛的感知、表现和管理。此外,文化、种族和民族差异在急性疼痛的不同治疗中仍然起着重要作用。整体且敏感文化的方法可能会改善疼痛管理的结果,更好地满足不同患者群体的需求,并有助于减少耻辱感和健康差异。主要方法包括意识、自我意识、适当的沟通和培训。