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Toward an Integration of Theory, Research and Nursing Practice

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KMID : 0350919780030000063
ÑÑâ³òª/Kim, Su Sie

Abstract

Pain theories have undergone evolutionary changes based on the accumulation of new physiological evidence and imaginative assumptions derived largely from. psychological and clinical observations. The contemporary Gate Control Theory which has incorporated the contributions of the previous theories and new experimental and observational evidence provides a more comprehensive understanding of pain mechanism which reflects both physiological and psychological dimensions. However, its coverage of the psychological dimension is so rudimentary that the theory has weak operational, empirical and pragmatic adequacies.
Pain research studies both in laboratory and. clinical settings have identified a number of sociocultural and psychological variables that are related to pain. Most studies have been concerned with the bivariate analysis and suffers from doubtful reliability and validity in measures and research design. Future research should develop a composite measure of clinical pain, should be undertaken in the clinical setting, and should identify multivariate relationships.
Nursing practice for pain management. appearing in non-research professional nursing journals and textbooks. are generally consistent with the current state of understanding of pain mechanism which are based on theory and research. However, there should be a continuous interaction among pain theory, pain research and nursing practice for pain management in, order to develop all three and to provide a basis for developing a pain care theory.
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