[Qualitative research on pain experiences of adult burn patients]

Zhonghua Shao Shang Za Zhi. 2018 Mar 20;34(3):165-170. doi: 10.3760/cma.j.issn.1009-2587.2018.03.010.
[Article in Chinese]

Abstract

Objective: To explore the pain experiences of adult burn patients so as to lay foundation for practical analgesic measures. Methods: Using phenomenological method in qualitative research, semi-structured interviews were conducted on 12 adult burn patients hospitalized in our burn units from May to November 2015, aiming at pain experiences from immediately after burns to 3 to 7 months after being discharged from hospital. Then the Colaizzi's analysis method was applied to analyze, induce, and refine themes of interview data. Results: After analysis, pain experiences of adult burn patients were generalized into 6 themes: deep pain experiences, heavy psychological burden, limited daily life, poor assessment and treatment of pain, different attributions of pain, and different ways of coping of pain. Conclusions: Burn pain brings harm to the patients' physiology, mentality, and daily life. Nevertheless, pain processing modes of medical staff and patients themselves are the key factors affecting patients' pain experiences. Therefore, according to the deficiency of current situation of pain management, the targeted analgesic intervention measures should be carried out from the perspectives of medical staff and patients.

目的: 探讨成年烧伤患者的疼痛经历,为制订切实可行的镇痛措施奠定基础。 方法: 采用质性研究中的现象学研究方法,针对从烧伤即刻到出院3~7个月的疼痛感受,对2015年5—11月笔者单位烧伤科收治的12例成年烧伤患者进行半结构式访谈,并采用Colaizzi分析法对访谈资料进行分析、归纳、提炼主题。 结果: 成年烧伤患者疼痛经历共析出6个主题:疼痛体验深刻、心理负担沉重、日常生活受限、疼痛评估处置欠佳、疼痛归因方式不同、疼痛应对方式各异。 结论: 烧伤疼痛给患者的生理、心理及日常生活造成负性影响,而医护人员及患者自身对疼痛的处理方式是影响患者疼痛体验的关键因素。因此,应根据疼痛管理现状的不足,从医护人员及患者2个角度出发,开展针对性的镇痛干预措施。.

Keywords: Burns; Pain; Qualitative research.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Burn Units
  • Burns / complications
  • Burns / psychology*
  • China
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Pain / psychology*
  • Pain Management
  • Qualitative Research