一个概念模型来评估未识别疼痛的风险
Jeffrey T Boon1, Michelle D Failla1, Alison R Anderson2
1The Ohio State University College of Nursing, 1577 Neil Avenue, Columbus, OH 43210, USA.
The journal of pain
|October 26, 2024
概括
不被识别的疼痛,与未经治疗的疼痛不同,在这里建模. 关键风险包括沟通问题,隔离和现有的痛苦状况,为新的风险评估工具铺平了道路.
科学领域:
- 疼痛研究 疼痛研究
- 临床建模 临床建模
- 人类健康 人类健康 人类健康
背景情况:
- 没有治疗或治疗不足的疼痛是一个公认的问题.
- 未识别的疼痛是一个独特的概念,需要明确的建模.
- 对于一个未识别的疼痛风险工具,需要一个概念模型.
研究的目的:
- 开发一种人类未识别疼痛的概念模型.
- 识别导致未识别疼痛的风险因素.
- 为未识别的疼痛风险评估工具奠定基础.
主要方法:
- 多阶段过程:头脑风暴,共识建设,协议开发,综合性审查和风险识别.
- 对摘要和全文文章进行系统审查.
- 基于确定疼痛风险区域的概念模型的开发.
主要成果:
- 达成共识,将"未识别的疼痛"作为核心概念.
- 确定了三个主要的风险领域 (危险):认知/沟通问题,孤独或缺乏代理,以及痛苦的条件/治疗的存在.
- 开发了一个概念模型,说明交互和累积风险因素.
结论:
- 无法识别的疼痛可能来自相互作用和累积的危险.
- 目前缺乏用于评估未识别疼痛风险的工具.
- 开发的概念模型将指导创建和测试用于未识别疼痛的新风险评估工具.
相关概念视频
Pain
467
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
467
Analgesia and Pain Management
534
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
534
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K


