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題名 | 疼痛的心身醫學觀:從疾病為中心到病人為中心=The Psychosomatic Aspect of Pain: From a Disease-centered to a Patient-centered Focus |
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作者 | 莊曄媺; 葉英堃; | 書刊名 | 臺灣精神醫學 |
卷期 | 13:3 1999.09[民88.09] |
頁次 | 頁3-14 |
分類號 | 415.9511 |
關鍵詞 | 疼痛; 疼痛行為; 慢性疼痛; 癌症疼痛; Pain; Pain behavior; Chronic pain; Cancer pain; |
語文 | 中文(Chinese) |
中文摘要 | 疼痛是臨床上常見的症狀,也是病患來找醫師的主要原因之一。最近在神經生物 學的「神經可塑性學說」,指出長時間的傷害性刺激會使神經元變得極為敏感,對於輕微而 短暫的刺激產生強烈而持續的反應,導致長期疼痛。疼痛的感受牽涉到感覺、情緒及行為因 素之間複雜的交互作用。因此,處理疼痛除了要探討生物學上因素外,同時要考慮個人人格、 心理、社會因素的影響,這對慢性疼痛及癌症疼痛病人尤其重要;治療目標不只在症狀的控 制,而應面對整個病人,近年來整合醫療科技、藥物、心理、社會等多科的模式,成為醫療 的主流。以病人為中心的人性化醫療模式裡,病人被鼓勵扮演積極參與的角色,使其能提高 對疼痛的耐受度,減少疼痛對生活的影響,並改善其生活品質。 |
英文摘要 | Pain is one of the most common symptoms which motivates patients to seek for medical help. The current concept of pain in neurobiology "neurolasticity" postulates that long-term changes occur within the peripheral and central nervous system following noxious input which alter the body's response to further peripheral sensory input via increased sensitivity. The perception of pain is the result of a complicated interaction between personality, psychological, and social factors of the patient. This article reviews the current theories about pain and methods to manage pain. A variety of psychological and behavioral treatment procedures for chronic pain and cancer pain are also reviewed. The primary goal of pain management is to reduce suffering, rather than to control pain itself. In a patient-centered multi-disciplinary treatment model, which aims at reducing suffering, the patient is encouraged to play a more active role in pain management and is taught to cope with pain in a more effective way. (Full Text in Chinese) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。