Overcoming Cultural Barriers to Managing Labor Pain Among Tanzanian Women Using Non-pharmacological Interventions.

IF 1.6 4区 医学 Q2 NURSING Pain Management Nursing Pub Date : 2025-01-18 DOI:10.1016/j.pmn.2024.12.022
Paul Shidende, Ummy Msenga
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Abstract

Managing labor pain effectively is crucial for ensuring positive maternal health outcomes. In Tanzania, cultural barriers often hinder the acceptance and utilization of non-pharmacological pain management interventions. This clinical consultation explored strategies for overcoming these cultural barriers to improve labor pain management among Tanzanian women using non-pharmacological interventions. A comprehensive literature review of existing research on non-pharmacological pain management techniques and cultural influences on pain perception and management was conducted, and an observed case study regarding the need to utilize nonpharmacological pain management interventions was also added. Studies indicated that non-pharmacological interventions such as massage, breathing techniques, and relaxation methods are effective and can be culturally adapted to fit Tanzanian women's beliefs and practices. Key barriers to use using these interventions include lack of awareness, limited access to training for healthcare providers, and cultural stigmas associated with pain expression. Successful strategies to overcome these barriers involve community education, involvement of traditional birth attendants, training healthcare providers in cultural competence, and engaging community leaders and family members. Future research should further explore the cultural adaptation and effectiveness of these interventions to ensure their sustainable integration into maternal care practices in countries with limited resources.

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克服文化障碍,管理分娩疼痛在坦桑尼亚妇女使用非药物干预。
有效管理分娩疼痛对于确保产妇健康取得积极成果至关重要。在坦桑尼亚,文化障碍往往阻碍非药物疼痛管理干预的接受和利用。这次临床咨询探讨了克服这些文化障碍的策略,以改善坦桑尼亚妇女使用非药物干预的分娩疼痛管理。对非药物疼痛管理技术和文化对疼痛感知和管理的影响的现有研究进行了全面的文献综述,并添加了一个关于使用非药物疼痛管理干预措施的观察案例研究。研究表明,按摩、呼吸技术和放松方法等非药物干预措施是有效的,可以在文化上进行调整,以适应坦桑尼亚妇女的信仰和习俗。使用这些干预措施的主要障碍包括缺乏认识,医疗保健提供者获得培训的机会有限,以及与疼痛表达相关的文化耻辱感。克服这些障碍的成功战略包括社区教育、传统接生员的参与、对医疗保健提供者进行文化能力培训以及让社区领导人和家庭成员参与进来。未来的研究应进一步探索这些干预措施的文化适应性和有效性,以确保其可持续地融入资源有限的国家的孕产妇保健实践。
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来源期刊
Pain Management Nursing
Pain Management Nursing 医学-护理
CiteScore
3.00
自引率
5.90%
发文量
187
审稿时长
>12 weeks
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.
期刊最新文献
Comparison of the Predictive Role of Spiritual Well-Being and Pain Intensity on Pain Catastrophizing in Acute and Chronic Pain. Exploring Pain and Opioid Misuse Among Patients With Sickle Cell Anemia: Associations With Health Literacy and Pain Catastrophizing. Nurse-Led Service Model for Outpatient Pain-Free Management Under Anesthesiologist Supervision: A Single Center, Observational Study in China. Pain Management Among Older Farsi and Azeri Speaking Immigrant Adults With Limited English Proficiency (LEP): Interpretive Approach. Nurses' Attitudes Toward Holistic and Complementary Medicine in Pain Management.
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