The checklist of nonverbal pain indicators (CNPI).
The checklist of nonverbal pain indicators (CNPI).
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DOI：
10.1053/jpmn.2000.5831
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发表时间：
2000-03-01
期刊：
影响因子：
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通讯作者：
Feldt, K S
中科院分区：
文献类型：
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作者：
Feldt, K S
本文批评现有的疼痛评估工具的认知受损的老年人的文献，并报告的非语言疼痛指标的检查表的试点测试结果。该仪器旨在测量认知受损老年人的疼痛行为。对髋部骨折的老年患者人群进行了仪器测试。评价者间的可靠性显示，93%的二分检查表项目的协议。在这一人群中，运动过程中的行为发生得更频繁。在仪器中的六种疼痛相关行为中，44%的受试患者出现面部鬼脸/畏缩。观察到的疼痛行为与疼痛的自我报告呈正相关。观察到认知完整与认知受损的髋部骨折老年人的疼痛行为之间没有差异。工具使用的工具和建议的局限性进行了讨论。
This article critiques the literature on existing pain assessment instruments for cognitively impaired elders and reports findings of pilot testing of the Checklist of Nonverbal Pain Indicators. This instrument was designed to measure pain behaviors in cognitively impaired elders. Instrument testing was conducted on a population of elderly patients with hip fractures. Interrater reliability showed 93% agreement on the dichotomous checklist items. Behaviors occurred more frequently during movement in this population. Of the six pain-related behaviors in the instrument, facial grimaces/winces occurred in 44% of the patients tested. Observed pain behaviors were positively correlated with self-report of pain. No differences between observed pain behaviors in cognitively intact versus cognitively impaired older adults with hip fractures were noted. Limitations of the instrument and recommendations for tool use are discussed.