对老年人的多维疼痛测量的评估:一个范围审查
Jeffrey T Boon1, Lisa Weimar2, Ann Quinlan-Colwell3
1The Ohio State University College of Nursing, Columbus, OH.
概括
针对老年人的多维疼痛评估工具可以测量强度,干扰和情绪,但没有一个工具是优越的. 由于人口的变异性,需要进一步开发和验证.
科学领域:
- 老年学是一门学科.
- 疼痛管理 疼痛管理
- 心理测量 心理测量 心理测量
背景情况:
- 由于独特的生理和认知变化,对老年人有效的疼痛评估至关重要.
- 现有的多维疼痛测量方法在心理测量特性和范围上有所不同.
研究的目的:
- 对老年人 (60岁以上) 进行多维疼痛评估措施的范围审查.
- 为了确定当前的措施,他们的心理测量特性,以及文献中的空白.
主要方法:
- 对来自Ovid MEDLINE,Embase和CINAHL Complete的同行评审文章进行范围审查.
- 包括专注于开发或心理测试老年人多维疼痛测量的研究.
- 数据的提取和合成确定了测量的疼痛尺寸,语言和心理特征.
主要成果:
- 包括来自17个国家的32篇文章,使用15种语言.
- 疼痛强度,干扰和影响/情绪是最常被评估的维度.
- 虽然可靠性和有效性经常被报告,但存在显著的异质性,没有单一的建议措施.
结论:
- 当前的多维疼痛工具捕捉了关键维度,但需要进一步开发和验证.
- 伴随性疾病和沟通能力的个体间变化需要对老年人评估工具的持续改进.
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