提高文化知识,促进疼痛管理在文化和语言多样性社区的文化适应。

Geoff P Bostick, Kathleen E Norman, Astha Sharma, Renee Toxopeus, Grant Irwin, Raj Dhillon
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引用次数: 3

摘要

目的:来自不同文化和语言(CALD)社区的人们在医疗保健方面存在差异。解决卫生保健提供者的文化能力问题可以限制这些差异。本研究的目的是提高CALD社区对疼痛的文化知识和谦逊。方法:本解释性描述定性研究采用焦点小组讨论(fgd)来产生关于南亚文化如何影响医疗保健提供者如何管理疼痛的想法。共有14名患有疼痛和南亚背景的人(6名女性和8名男性,年龄在28-70岁之间)参加了研究。两名调查人员独立分析了这些数据。这个过程包括反复阅读抄本,然后手动将关键消息分类。研究人员比较了他们的分类,并通过讨论解决了分歧。接下来,相似的类别和概念被归类为想法(潜在主题)。这些想法,连同支持的类别和逐字引用,被提交给整个研究团队以征求反馈。在对反馈信息进行整理后,这些想法形成了数据的主题表示。结果:来自fgd的数据揭示了如何在文化上适应疼痛管理。FGDs产生了关于南亚文化视角的四个主题,这些主题可能会影响疼痛患者的疼痛管理经验:(1)沟通中的文化和语言障碍,(2)对疼痛干扰功能和工作的程度的理解,(3)培养或个人关注作为良好护理的标志,以及(4)归因于传统疾病和治疗观念的价值。结论:本研究表明,与患有疼痛的CALD患者接触可以提高文化知识和谦逊度,从而形成适应疼痛管理的基础。通过这个过程,更有可能制定出一个有意义的、以客户为中心的疼痛管理计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Cultural Knowledge to Facilitate Cultural Adaptation of Pain Management in a Culturally and Linguistically Diverse Community.

Purpose: Health care disparities exist for people from culturally and linguistically diverse (CALD) communities. Addressing the cultural competence of health care providers could limit these disparities. The aim of this study was to improve cultural knowledge of and humility regarding pain in a CALD community. Method: This interpretive description qualitative study used focus group discussions (FGDs) to generate ideas about how South Asian culture could influence how health care providers manage pain. A total of 14 people with pain and of South Asian background (6 women and 8 men, aged 28-70 y) participated. Two investigators independently analyzed the data. This process involved repeatedly reading the transcripts, then manually sorting the key messages into categories. The investigators compared their categorizations and resolved differences through discussion. Next, similar categories and concepts were grouped into ideas (potential themes). These ideas, along with supporting categories and verbatim quotes, were presented to the full research team for feedback. After compiling the feedback, the ideas formed the thematic representation of the data. Results: The data from the FGDs revealed how pain management could be culturally adapted. The FGDs generated four themes about South Asian cultural perspectives that could influence the pain management experience for people living with pain: (1) cultural and linguistic impediments to communication, (2) understanding of pain in terms of the extent to which it interferes with function and work, (3) nurturing or personal attention as a marker of good care, and (4) value attributed to traditional ideas of illness and treatment. Conclusion: This study demonstrates how engaging with CALD people living with pain can lead to improved cultural knowledge and humility that can form the basis for adapting pain management. Through this process, it is more likely that a meaningful and client-centred pain management plan can be developed.

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