在养老院的神经病痛
Gisèle Pickering1,2, Marion Voute1, Elise Sortais1
1Plateforme d'Investigation Clinique, Centre Hospitalier Universitaire de Clermont-Ferrand, Inserm CIC 1405, Clermont-Ferrand, France.
European journal of pain (London, England)
|May 21, 2025
概括
神经病痛 (NP) 在养老院普遍存在,但由于诊断挑战,经常被低估. 一个经过验证的四步算法改善了NP管理,强调了有针对性的专业培训的必要性.
科学领域:
- 老年学是一门学科.
- 疼痛管理 疼痛管理
- 神经学 神经学
背景情况:
- 在老年人中疼痛的高患病率,在养老院居民中普遍存在低估的疼痛.
- 现有的疼痛管理质量指标不足以解决这个人群中低估的疼痛.
- 需要评估神经病痛 (NP) 患病率,评估,治疗和养老院的医疗保健专业实践.
研究的目的:
- 评估在养老院居民中神经病痛 (NP) 的患病率.
- 评估拟议的四步NP管理算法的有效性.
- 确定医疗保健专业人员对优化NP管理的需求.
主要方法:
- 在线调查通过REDCap软件从2024年3月4日至6月28日进行.
- 调查针对养老院的医疗保健专业人员,涵盖NP流行,管理算法步骤和专业需求.
- 从九个养老院收集的数据,包括841名居民.
主要成果:
- 神经性疼痛 (NP) 的患病率为8.5% (95% CI:4.2-12.7%).
- 四步NP管理算法表现出良好的临床相关性和满意度 (平均± SD,7.9 ± 1.5).
- 96.8%的参与者表示需要专门的NP管理培训.
结论:
- 神经病痛 (NP) 的患病率很大,但由于诊断问题可能被低估.
- 拟议的四步算法是NP管理在养老院实践中的有用工具.
- 对于养老院工作人员和学生来说,有明显的和未得到满足的需要,需要加强对NP评估和治疗的培训和信息.
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