疼痛的認知層面評估：信念與態度

Cognitive Dimension of Pain Assessment: Beliefs and Attitudes

陳麗糸(Lih-Mih Chen)

《腫瘤護理雜誌》 10卷1期 (2010/06) Pp. 1-11

https://doi.org/10.6880/TJON.201006_10(1).01

摘要

整體性疼痛評估中，認知層面的評估是較不容易的，尤其此層面中信念與態度的評估，因為概念抽象又容易令人混淆，更是令人難以入門，引此本文冀望從探討信念及概念的定義、形成過程、特性、功能及分類形式，分析之間的關係，比較其間的異同，增加對這兩個概念的了解，並將目前最常用的疼痛信念或態度的量表一一描述比較，希望能提供健康照顧人員評估疼痛的認知層面時，能有指引去選擇在不同情境時最適合的施測工具，並能將疼痛的信念及態度這兩個概念有更清楚的瞭解，以利未來訂立處置時的參考。

關鍵字

疼痛評估 ； 認知層面 ； 信念 ； 態度

並列摘要

The cognitive dimension of pain assessment would be a difficult part from the assessment of all dimensions of pain experience. Especially for assessing pain beliefs and pain attitudes, both of these concepts are having abstract characteristics and easy to get confused. This review article tried to analyze the relations between pain beliefs and pain attitudes through cross comparison of the definitions, developing process of concept, natures of concept, functions, and operating patterns. Further, the most common use instruments for assessing pain beliefs and pain attitudes would be described detailedly, in order to provide the clinical guidelines for the health providers to choose appropriate instrument under different clinical situations and various aims of assessment. The ultimate aims for this article were to puzzle the real picture of pain beliefs and pain attitudes and to be the reference for developing strategies of pain management in the future.

並列關鍵字

pain assessment ； cognitive dimension ； beliefs ； attitudes