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首页> 外文期刊>Pain medicine : >Chronic pain, medical students, and primary care commentary on 'What can we learn from first-year medical students' perception of pain in the primary care setting'.
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Chronic pain, medical students, and primary care commentary on 'What can we learn from first-year medical students' perception of pain in the primary care setting'.

机译：慢性疼痛，医学生和初级保健评论“我们可以从一年级医学生在初级保健环境中的疼痛感中学到什么”。

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摘要

The article in this issue by Corrigan, Desnick, Bentov, Marshall, and Rosenblatt on the perceptions of medical students to patients with complaints of pain in primary care settings is important and is a concern. This study reports on a qualitative analysis of the reflections of first year medical students who are participating in primary care rotations in rural and underserved settings. In their written reflections, over half of the students referenced their reactions to patients complaining of pain, and almost all of those students included concerns about chronic pain patients in their reflections. The investigators divided the student reflections on chronic pain into positive, negative, and neutral. Seventy-five percent of the students who offered reflections on pain patients described negative perceptions. Negative comments were significant and powerful, often highlighting the students' problems in dealing with ambiguity. Many had problems with the concept of pain in the absence of significant physical findings, and many had real concerns about the use of opioid therapy in the treatment of chronic pain of nonma-lignant origin. As noted in the article, "They (the students) questioned whether chronic pain patients were being untruthful or manipulative. The idea that these patients still needed to be cared for challenged students' own beliefs about what is 'true' pain."
机译：Corrigan，Desnick，Bentov，Marshall和Rosenblatt在本期中发表的有关医学生对基层医疗机构中遭受疼痛投诉的患者的看法的文章非常重要，值得关注。本研究报告对农村和服务欠缺地区参加基层医疗轮换的一年级医学生的反思进行了定性分析。在他们的书面反思中，超过一半的学生将自己的反应提到抱怨疼痛的患者身上，几乎所有这些学生的反思中都包含了对慢性疼痛患者的担忧。研究者将学生对慢性疼痛的思考分为正面，负面和中性。对疼痛患者进行反思的学生中有百分之七十五描述了负面的看法。负面评论意义重大且有力，经常突显学生在处理歧义上的问题。在没有明显的物理发现的情况下，许多人在疼痛概念上存在问题，并且许多人对使用阿片类药物疗法治疗非恶性源性慢性疼痛感到担忧。如文章所述，“他们（学生）质疑慢性疼痛患者是不诚实的还是有操纵性的。仍然需要照顾这些患者的想法挑战了学生对什么是“真正的”疼痛的信念。”

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