Community directed assessment of pain in a northern Saskatchewan Cree community.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tayah Zhang, Elder Rose Dorian, Sally Sewap, Rachel Johnson, Heather Foulds, Brenna Bath, Stacey Lovo
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引用次数: 0

Abstract

Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants' pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments.

在萨斯喀彻温省北部的克里社区,由社区指导对疼痛进行评估。
萨斯喀彻温省北部一个克里族社区 Pelican Narrows 的原住民长老顾问表示,西方疼痛量表可能不是他们社区内疼痛评估的响应工具。本研究采用了混合方法研究设计,包括两个阶段。第一阶段是与一位长者和一位知识守护者合作开发疼痛量表。第二阶段是在针对慢性背痛的虚拟物理治疗过程中试用 CDPS。27 名参与者完成了物理治疗前的问卷调查,10 名参与者参与了半结构化访谈(9 名社区成员;1 名医疗保健提供者)。加权卡帕分析得出 k = 0.696,表明 CDPS 与《面孔疼痛量表-修订版》在记录参与者疼痛方面具有良好的一致性。与社区成员访谈的定性数据揭示了三大主题:1)关于疼痛量表的学习;2)以患者为中心的护理;3)改善疼痛沟通的基于力量的解决方案。通过与医疗保健提供者的对话,发现了两个主题:1)对 CDPS 的看法;2)医疗保健提供者的疼痛沟通经验。此外,以患者为中心的方法对于确保全面的疼痛评估非常重要。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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