Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons with Dementia.
Pain Incidence, Treatment, and Associated Symptoms in Hospitalized Persons with Dementia.
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DOI：
10.1016/j.pmn.2020.08.002
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Galvin JE
中科院分区：
文献类型：
--
作者：
Boltz M;Resnick B;Kuzmik A;Mogle J;Jones JR;Arendacs R;BeLue R;Cacchione P;Galvin JE
本研究的目的是描述住院痴呆症患者的疼痛发生率、疼痛的药物治疗以及疼痛与身体机能、谵妄以及痴呆症行为和心理症状 (BPSD) 的关系。这是一项描述性研究。基线数据来自参加以家庭为中心的功能重点护理 (Fam-FFC) 整群随机试验的 299 名痴呆症住院患者。使用晚期痴呆疼痛评估（PAINAD）量表对疼痛进行横断面分析，并使用药物进行疼痛管理。还进行了线性回归分析来测试疼痛与以下因素之间的关系：1) 身体功能（巴塞尔指数）、2) 谵妄严重程度（混乱评估方法严重程度简表）和 3) BPSD 严重程度（神经精神量表问卷）。样本中的大多数是女性 (61.9%)、非西班牙裔 (98%) 和黑人 (53.2%)，平均年龄为 81.58 岁 (SD=8.54)。在 299 名患者中，166 名（56%）接受了止痛药治疗。在 108 名表现出疼痛的人中，40% (n=43) 没有接受止痛药治疗。当控制年龄、性别、认知和合并症时，疼痛与功能、谵妄严重程度和 BPSD 严重程度显着相关。研究结果表明，入院的痴呆症患者的疼痛治疗不足。结果提供了一些证据，表明入院时应考虑疼痛，以优化功能、减少谵妄并预防或减少 BPSD。
The purpose of this study was to describe the incidence of pain, the pharmacologic management of pain, and the association of pain with physical function, delirium, and behavioral and psychological symptoms of dementia (BPSD) in hospitalized persons with dementia. This was a descriptive study. Baseline data from 299 hospitalized persons with dementia enrolled in the Family-centered Function-focused Care (Fam-FFC) cluster randomized trial. Cross-sectional analyses of pain using the Pain Assessment in Advanced Dementia (PAINAD) scale and the use of medication for pain management were conducted. Linear regression analyses were also performed to test relationships between pain and:1) physical function (Barthel Index), 2) delirium severity (Confusion Assessment Method Severity Short Form) and 3) BPSD severity (Neuropsychiatric Inventory- Questionnaire). The majority of the sample was female (61.9%), non-Hispanic (98%), and Black (53.2%), with a mean age of 81.58 (SD=8.54). Of the 299 patients, 166 (56%) received pain medication. Of the 108 individuals who demonstrated pain, 40% (n=43) did not receive pain medication. When controlling for age, gender, cognition, and comorbidities, pain was significantly associated with function, delirium severity, and BPSD severity. The findings suggest undertreatment of pain in persons with dementia admitted to the hospital. The results provide some evidence that pain should be considered upon admission to optimize function, decrease delirium, and prevent or decrease BPSD.
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DOI：
10.1016/j.jamda.2014.07.002
发表时间：
2015-01
影响因子：
7.6
作者：
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