促进聋人疼痛评估和沟通:系统性审查
Irene Mansutti1, Catarina Tomé-Pires2, Stefania Chiappinotto1
1Bachelor of Nursing, Department of Medical Science, Udine University, Viale Ungheria 20, 33100, Udine, Italy.
BMC public health
|August 23, 2023
概括
对于聋人来说,疼痛的评估是具有挑战性的,因为沟通障碍. 研究有限,但使用家庭调解员和训练医疗保健专业人员使用手语等策略可以改善疼痛沟通和评估.
科学领域:
- 为弱势群体提供医疗保健服务.
- 临床评估方法的临床评估方法.
- 在医疗保健机构的沟通.
背景情况:
- 疼痛是医疗保健参与的一个普遍原因.
- 聋人个人在表达疼痛时面临重大沟通挑战.
- 医疗保健提供者在评估这一群体中的疼痛时遇到困难.
研究的目的:
- 审查有关聋人患者疼痛评估的当前研究.
- 为这一群体确定经过验证的疼痛评估工具.
- 探索促进疼痛沟通和评估的策略.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在主要数据库 (Medline,CINAHL,Scopus,Embase,PsycInfo) 进行了搜索,截至2023年7月.
- 涉及有聋和疼痛评估的成年人的研究被评估为质量,并以叙事方式合成.
主要成果:
- 包括五项研究:两个验证研究,一个案例报告,一个案例研究和一个定性研究.
- 国际RAI社区健康评估和聋盲补充量表显示了一些验证,而像视觉模拟量表这样的常用工具存在局限性.
- 促进策略包括让家庭成员参与,培训医疗保健专业人员使用手语,并创造一个友好的沟通环境.
结论:
- 对聋人疼痛评估的研究还处于新生阶段,证据有限.
- 需要进一步的研究来建立最佳的疼痛评估仪器.
- 对这一脆弱群体来说,最低的护理标准和有效的策略至关重要.
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