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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Decreasing the stigma burden of chronic pain.
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Decreasing the stigma burden of chronic pain.

机译：减轻慢性疼痛的耻辱负担。

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摘要

Purpose: To describe stigmatizing experiences in a group of Mexican-American women with chronic pain and provide clinical implications for decreasing stigma.Data sources: This focused ethnographic study derived data from semistruc-tured interviews, participant observations, and fieldwork. Participants provided detailed descriptions of communicating about chronic pain symptoms, treatment, and management. The sample consisted of 15 English-speaking Mexican-American women 21-65 years old (average age = 45.6 years) who had nonmalignant chronic pain symptoms for 1 year or more. Conclusions: The cultural and social norm in the United States is the expectation for objective evidence (such as an injury) to be present if a pain condition exists. In this study, this norm created suspicion and subsequent stigmatization on the part of family, co-workers, and even those with the pain syndromes, that the painful condition was imagined instead of real. Implications for practice: To decrease stigmatization of chronic pain, providers must understand their own misconceptions about chronic pain, possess the skills and resources to access and use the highest level of practice evidence available, and become an advocate for improved pain care at local, state, and national levels.
机译：目的：描述一组患有慢性疼痛的墨西哥裔美国妇女的污名化经历，并为减少耻辱感提供临床意义。数据来源：这项有志的民族志研究来自半结构化访谈，参与者观察和实地调查得出的数据。参与者提供了有关慢性疼痛症状，治疗和管理的详细交流说明。该样本由15名21-65岁（平均年龄= 45.6岁）的英语墨西哥裔美国妇女组成，她们具有1年或更长时间的非恶性慢性疼痛症状。结论：如果存在疼痛状况，美国的文化和社会规范是对客观证据（例如伤害）的期望。在这项研究中，这一准则引起了家人，同事甚至患有疼痛综合症的人的怀疑和随后的污名化，他们想到的是痛苦的状况，而不是真实的状况。对实践的意义：为了减少对慢性疼痛的污名化，提供者必须了解自己对慢性疼痛的误解，拥有获取和使用最高水平实践证据的技能和资源，并成为当地和州改善疼痛护理的倡导者以及国家/地区级别。

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