在养老院居民中,随着时间的推移,压力损伤疼痛
Angela T Williams1, Barbara M Bates-Jensen2, Felicia Hodge3
1School of Nursing, UCLA, Los Angeles, CA, USA.
Geriatric nursing (New York, N.Y.)
|August 10, 2024
概括
养老院居民经常经历压力损伤疼痛,下午的严重程度更高. 治疗一般疼痛可能会减轻压力损伤疼痛,但文档仍然不足.
科学领域:
- 老年学是一门学科.
- 疼痛管理 疼痛管理
- 伤口护理 伤口护理
背景情况:
- 压力损伤 (PrI) 疼痛显著影响养老院 (NH) 居民的生活质量.
- 在NH环境中对PRI的最佳评估方法和疼痛管理策略尚未得到充分确立.
研究的目的:
- 为了检查压力损伤 (PrI) 疼痛的严重程度和稳定性在养老院居民.
- 用两个评估工具来评估PRI疼痛的当前治疗方法.
- 评估PRI疼痛的口头反应量表 (VRS) 和高级痴呆症疼痛评估 (PAINAD) 之间的协议.
主要方法:
- 一项描述性队列研究,涉及33名NH居民患有PrI (1-4阶段).
- 使用贝茨-詹森伤口评估工具 (BWAT) 评估伤口严重程度.
- 使用VRS和PAINAD两天每天三次评估PRI疼痛;数据分为没有,轻度,中度或重度疼痛.
主要成果:
- 82%的居民报告PRI疼痛;57%轻度,26%中度,16%严重.
- 在下午报告了更严重的PRI疼痛.
- 在VRS和PAINAD之间发现了积极的关系 (r=0.38),但一致性很差 (科恩的卡帕=0.19).
- 只有22%的PRI疼痛被记录在最小数据集 (MDS) 中;42%的患者及时接受了止痛药.
结论:
- 在VRS和PAINAD之间存在有限的协议,用于NH居民的PRI疼痛评估.
- 在MDS中对PRI疼痛的不充分记录凸显了关键护理缺口.
- 下午的评估可能是最佳的PRI疼痛评估;治疗一般疼痛可能会减轻PRI疼痛.
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