南京医科大学学报（社会科学版）2026，Vol.26Issue(4)：363-369,7.DOI:10.7655/NYDXBSSS260086
康复门诊老年患者疼痛描述研究
Pain descriptions among older patients in rehabilitation clinics
摘要
Abstract
Grounded in the framework of Action Theory,this study investigates the linguistic patterns and expressive strategies used by older patients to describe pain in rehabilitation clinic settings.This research aims to provide a new theoretical perspective on how older patients express pain and offer practical implications for enhancing medical communication and optimizing pain management in geriatric care.An in-depth analysis of clinical conversation data identifies three primary modes of pain description.The responsive mode primarily occurs in response to vagueness and difficulty in symptom localization,often influenced by age-related cognitive decline and the complexity of chronic pain.The retrospective-situational mode relies on the activation of memories of daily lives to reconstruct pain experiences within specific imagined contexts.The metaphorical mode transforms abstract pain sensations into specific and perceptible imagery,offering distinctive linguistic expressions that are intended to be understandable to physicians.In addition,the study discusses the difficulties older patients encountered in describing these three types of pain and the potential cognitive factors influencing them.For example,the difficulties older adults experience in vocabulary retrieval and narrative construction during pain description may be associated with declines in executive function and theory of mind abilities.关键词
康复门诊/老年患者/疼痛描述Key words
rehabilitation clinics/older patients/pain description分类
医药卫生引用本文复制引用
康柔婕,李洪兰,吕若瑶..康复门诊老年患者疼痛描述研究[J].南京医科大学学报（社会科学版）,2026,26(4):363-369,7.基金项目
教育部人文社科基金青年项目"健康老龄化背景下中国老年患者语言行动能力研究"(24YJC740032) （24YJC740032）
江苏省社科基金"功能语用学视域下老年人医患沟通的语言行动障碍研究"(24YYD001) （24YYD001）
