Ziyang Wang M.D., R.N. , Fei Wang M.D., Ph.D. , Xiaochen Jiang M.D., R.N. , Weifeng Wang M.D., R.N. , Yihui Xing M.D., R.N. , Xueling Qiu M.D., R.N. , Lukun Sun M.D. , Cui Li S.D., R.N. , Lu Tang Ph.D., R.N.
{"title":"东西方医学对创伤骨科手术后康复训练中疼痛管理的观点和实践:定性研究","authors":"Ziyang Wang M.D., R.N. , Fei Wang M.D., Ph.D. , Xiaochen Jiang M.D., R.N. , Weifeng Wang M.D., R.N. , Yihui Xing M.D., R.N. , Xueling Qiu M.D., R.N. , Lukun Sun M.D. , Cui Li S.D., R.N. , Lu Tang Ph.D., R.N.","doi":"10.1016/j.pmn.2023.12.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Despite the increasing emphasis on rehabilitation training after orthopedic surgery<span>, little is known about the pain caused by the procedure itself. Clinical practice is driven by beliefs in pain management.</span></p></div><div><h3>Aims</h3><p><span>This study aimed to explore the perspective of pain management during rehabilitation training after orthopedic trauma in China and its influencing factors from different perspectives in </span>traditional Chinese medicine and Western medicine, respectively.</p></div><div><h3>Design</h3><p>A phenomenological qualitative study involving semi-structured interviews.</p></div><div><h3>Settings</h3><p></p></div><div><h3>Methods</h3><p>A qualitative study was conducted with 16 medical workers working in the Rehabilitation Medicine Department in eastern China from July 2022-February 2023. A directed method to thematic analysis was used to code the transcribed data and identify themes.</p></div><div><h3>Results</h3><p><span>Four main themes emerged. (1) Inconsistent perspectives and practice: Chinese doctors majoring in Western medicine felt sympathy, helpless, and had a lack of knowledge and misconception about pain. Traditional Chinese medicine deemed that pain is a protective mechanism and attached importance to holism and unique means. (2) Consistent outcome: Insufficient pain management will have a series of negative consequences for patients’ recovery, forming a vicious cycle. (3) Expectations: Though they are not optimistic about traditional analgesics, enhancement, cooperation and ideal analgesic methods still be expressed, and (4) Concept transformation: Conducting </span>nitrous oxide is a process not only to promote analgesic technology but also to promote the awareness and concept of pain management.</p></div><div><h3>Conclusions</h3><p>Our study emphasized that medical workers should be aware of the importance of pain management at the same time while treating the disability. The study provides insight into pain management experiences within different educational backgrounds. The findings enable professionals to recognize the importance of pain management and its influencing factors to provide feasible and effective pain management strategies.</p></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Perspectives and Practice in Eastern and Western Medicine for Pain Management in Rehabilitation Training after Orthopedic Trauma Surgery: A Qualitative Study\",\"authors\":\"Ziyang Wang M.D., R.N. , Fei Wang M.D., Ph.D. , Xiaochen Jiang M.D., R.N. , Weifeng Wang M.D., R.N. , Yihui Xing M.D., R.N. , Xueling Qiu M.D., R.N. , Lukun Sun M.D. , Cui Li S.D., R.N. , Lu Tang Ph.D., R.N.\",\"doi\":\"10.1016/j.pmn.2023.12.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Despite the increasing emphasis on rehabilitation training after orthopedic surgery<span>, little is known about the pain caused by the procedure itself. Clinical practice is driven by beliefs in pain management.</span></p></div><div><h3>Aims</h3><p><span>This study aimed to explore the perspective of pain management during rehabilitation training after orthopedic trauma in China and its influencing factors from different perspectives in </span>traditional Chinese medicine and Western medicine, respectively.</p></div><div><h3>Design</h3><p>A phenomenological qualitative study involving semi-structured interviews.</p></div><div><h3>Settings</h3><p></p></div><div><h3>Methods</h3><p>A qualitative study was conducted with 16 medical workers working in the Rehabilitation Medicine Department in eastern China from July 2022-February 2023. A directed method to thematic analysis was used to code the transcribed data and identify themes.</p></div><div><h3>Results</h3><p><span>Four main themes emerged. (1) Inconsistent perspectives and practice: Chinese doctors majoring in Western medicine felt sympathy, helpless, and had a lack of knowledge and misconception about pain. Traditional Chinese medicine deemed that pain is a protective mechanism and attached importance to holism and unique means. (2) Consistent outcome: Insufficient pain management will have a series of negative consequences for patients’ recovery, forming a vicious cycle. (3) Expectations: Though they are not optimistic about traditional analgesics, enhancement, cooperation and ideal analgesic methods still be expressed, and (4) Concept transformation: Conducting </span>nitrous oxide is a process not only to promote analgesic technology but also to promote the awareness and concept of pain management.</p></div><div><h3>Conclusions</h3><p>Our study emphasized that medical workers should be aware of the importance of pain management at the same time while treating the disability. The study provides insight into pain management experiences within different educational backgrounds. The findings enable professionals to recognize the importance of pain management and its influencing factors to provide feasible and effective pain management strategies.</p></div>\",\"PeriodicalId\":19959,\"journal\":{\"name\":\"Pain Management Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pain Management Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1524904223002527\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Management Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1524904223002527","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Perspectives and Practice in Eastern and Western Medicine for Pain Management in Rehabilitation Training after Orthopedic Trauma Surgery: A Qualitative Study
Background
Despite the increasing emphasis on rehabilitation training after orthopedic surgery, little is known about the pain caused by the procedure itself. Clinical practice is driven by beliefs in pain management.
Aims
This study aimed to explore the perspective of pain management during rehabilitation training after orthopedic trauma in China and its influencing factors from different perspectives in traditional Chinese medicine and Western medicine, respectively.
Design
A phenomenological qualitative study involving semi-structured interviews.
Settings
Methods
A qualitative study was conducted with 16 medical workers working in the Rehabilitation Medicine Department in eastern China from July 2022-February 2023. A directed method to thematic analysis was used to code the transcribed data and identify themes.
Results
Four main themes emerged. (1) Inconsistent perspectives and practice: Chinese doctors majoring in Western medicine felt sympathy, helpless, and had a lack of knowledge and misconception about pain. Traditional Chinese medicine deemed that pain is a protective mechanism and attached importance to holism and unique means. (2) Consistent outcome: Insufficient pain management will have a series of negative consequences for patients’ recovery, forming a vicious cycle. (3) Expectations: Though they are not optimistic about traditional analgesics, enhancement, cooperation and ideal analgesic methods still be expressed, and (4) Concept transformation: Conducting nitrous oxide is a process not only to promote analgesic technology but also to promote the awareness and concept of pain management.
Conclusions
Our study emphasized that medical workers should be aware of the importance of pain management at the same time while treating the disability. The study provides insight into pain management experiences within different educational backgrounds. The findings enable professionals to recognize the importance of pain management and its influencing factors to provide feasible and effective pain management strategies.
期刊介绍:
This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.