消化性溃疡患者疼痛表达模式的研究

J S Kim, Y H Choi
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引用次数: 1

摘要

疼痛是一个主观的、多维的概念。因此,患者对疼痛的表达被认为是疼痛状态的最佳可信指标,但从考虑文化差异的患者那里获得的支持数据是确定精确护理诊断的缺陷条件。本研究旨在了解文化差异和敏感性的多重疼痛反应,促进医疗团队之间的沟通,为疼痛患者的精准护理评估提供数据基础。研究的问题是掌握朝鲜族消化性溃疡患者的疼痛表达模式。研究对象为首尔两所大学附属医院内科或门诊的20例消化性溃疡患者。数据收集时间为1990年9月7日至22日。访谈由研究人员完成,并全部录音。数据分析采用Van Kaam的现象学方法。通过教育界的护理同事和医疗护理中的临床医生对陈述和分类的内部一致性的确认来保证有效性。从主题数据中,将96个描述性语句组织在18个主题簇中。研究结果总结如下:1. 消化性溃疡患者的疼痛表达模式集群为“阻塞痛”、“浅痛”、“压痛”、“恶心痛”、“刺痛”、“刺痛”、“爆裂痛”、“绞痛”、“切痛”、“身心无法控制的疼痛”、“觉醒痛”、“掏空痛”等。如前文所述,消化性溃疡患者的疼痛表达方式在语言上表现出多样性,且与韩国文化相适应。为精准护理评价提供基础数据。
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[A study on the pattern of pain expression of peptic ulcer patients].

Pain is a subjective and multidimensional concept. Therefore the patient's expression of pain have been referred to the best believable indicator of pain condition but the support data obtained from the patient considered cultural difference is a deficient condition in determined on the precise nursing diagnosis. The purpose of this research was to understand multiple pain responses in cultural difference and sensitivity, to encourage communication between medical teams, and to provide the foundation data of on data of precise nursing assessment for the patient in pain. The research problem was to grasp pain express pattern of Korean peptic ulcer patients. The subjects were 20 peptic ulcer patients in medical unit or OPD of twp university hospitals in Seoul. Data were collected from September 7th to 22nd, 1990 by intensive interviews. Interviews were done by the researcher and all were tape-recorded. The Data analysis was done by Phenomenological method from Van Kaam. Validity assured by confirmation of the internal consistency of the statements and category by nursing colleague in educational and clinicians in medical care. From the emic data, 96 descriptive statements were organized in 18 theme cluster. The results of study were summarized as follows. 1. Pain Express Pattern cluster of Peptic Ulcer Patients were "pain as clogging", "shallow pain", "pain as pressing", "nauseateing pain", "pain as smarting", "pain as pulling", "pain as pricking", "pain as bursting", "wrenching pain", "excising pain", "uncontrollable pain for mind and body", "awakening pain", "pain as hollowing" and the other cluster. As above mentioned, Pain Express Pattern of Peptic Ulcer Patient appeared diversely in verbal and they were propered to Korean culture. Therefore they will provide for the foundation data of precise nursing assessment.

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