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首页> 外文OA文献 >“I Try and Smile, I Try and Be Cheery, I Try Not to Be Pushy. I Try to Say ‘I'm Here for Help’ but I Leave Feeling… Worried”: A Qualitative Study of Perceptions of Interactions with Health Professionals by Community-Based Older Adults with Chronic Pain
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“I Try and Smile, I Try and Be Cheery, I Try Not to Be Pushy. I Try to Say ‘I'm Here for Help’ but I Leave Feeling… Worried”: A Qualitative Study of Perceptions of Interactions with Health Professionals by Community-Based Older Adults with Chronic Pain

机译：“我尝试着微笑，我尝试着变得愉快，我尝试着不要急躁。我尝试说“我在这里寻求帮助”，但我却感到……担心”：定性研究基于社区的慢性疼痛社区老年人与卫生专业人员的互动感受

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Background: Over 50% of community-dwelling older adults experience chronic pain, which threatens their quality of life. Of\udimportance to their pain management is older people’s interaction with health professionals that, if unsatisfactory, may\udimpair the outcome.\udAims: To add to the limited research specific to older people living with chronic pain in the community, we explored how\udthey perceive their experiences of interacting with health professionals, seeking factors that might optimise these\udinteractions.\udMethods: Purposive sampling was used to recruit men and women .65 years with self-reported musculoskeletal chronic\udpain. Qualitative individual interviews and one group interview were undertaken with 23 participants. Data were transcribed\udverbatim and underwent Framework Analysis.\udResults: Three themes were identified. Seeking help illustrates issues around why older people in the community may or\udmay not seek help for chronic pain, and highlights the potential involvement of social comparison. Importance of diagnosis\udillustrates the desire for professional validation of their condition and an aversion to vague explanations based on the\udperson’s age. Being listened to and being heard illustrates the importance of empathic communication and understanding\udexpectations, with due respect for the person’s age.\udConclusions: In common with people of all ages, an effective partnership between an older person in pain and health\udprofessionals is essential if pain is to be reported, appropriately assessed and managed, because of the subjective nature of\udpain and its treatment responses. For older people with pain, perception about their age, by both parties in the partnership,\udis an additional factor that can unnecessarily interfere with the effectiveness of this partnership. Health professionals should\udengage with older adults to clarify their expectations about pain and its management, which may be influenced by\udperceptions about age; and to encourage expression of their concerns, which may also be affected by perceptions about\udage.
机译：背景：居住在社区中的老年人中，有50％以上患有慢性疼痛，这威胁着他们的生活质量。 \\对于他们的疼痛管理而言，最重要的是老年人与医疗专业人员的互动，如果效果不理想，则可能会\损害结果。\ ud目标：为了增加针对社区中患有慢性疼痛的老年人的有限研究，我们探索了如何\他们认识到了他们与卫生专业人员互动的经验，寻找可以优化这些人与人之间相互作用的因素。\ ud方法：采用有针对性的抽样方法，招募了.65岁患有自我报告型肌肉骨骼慢性\ udpain的男女。定性的个人访谈和一组团体访谈进行了23名参与者。数据被转录\ udverbatim，并进行了框架分析。\ ud结果：确定了三个主题。寻求帮助说明了社区中的老年人为何可能或不愿寻求慢性疼痛帮助的问题，并强调了社会比较的潜在参与。诊断的重要性说明了对他们的状况进行专业验证的愿望，并且厌恶基于\ udperson年龄的模糊解释。倾听和倾听说明了同情交流和理解\谨慎的重要性，并适当尊重人的年龄。\ ud结论：与所有年龄段的人一样，疼痛和健康方面的老年人\ udprofessionals之间的有效合作是由于\ udpain的主观性质及其治疗反应，因此如果要报告，适当评估和管理疼痛，则必不可少。对于患有疼痛的老年人，伙伴双方都对年龄有看法，这可能会不必要地干扰这种伙伴关系的有效性。卫生专业人员应\ uengeng与老年人沟通，以澄清他们对疼痛及其管理的期望，这可能受对年龄的理解的影响；并鼓励表达他们的担忧，这种担忧也可能会受到对\ udage的理解的影响。

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