Pain in US nursing homes: Validating a pain scale for the minimum data set
Pain in US nursing homes: Validating a pain scale for the minimum data set
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DOI：
10.1093/geront/41.2.173
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发表时间：
2001-04-01
期刊：
影响因子：
5.7
通讯作者：
Bookstein, FL
中科院分区：
文献类型：
--
作者：
Fries, BE;Simon, SE;Bookstein, FL
目的：本研究的目的是验证最小数据集（MDS）评估工具的疼痛量表，并检查主要养老院亚群的疼痛患病率，包括入院类型和认知状态。设计和方法：本研究考虑了MDS疼痛项目的验证以及使用自动交互检测根据视觉疼痛量表（VAS）进行的量表推导。衍生数据描述了95急性期后护理疗养院患者谁能够沟通。然后，使用该量表对34，675名密歇根州养老院居民进行回顾性分析。结果：四组量表对VAS疼痛评分具有高度预测性（方差解释率为56%），因此在检测疼痛方面非常有效。在患病率样本中，只有47%的急性期后患者与63%的入院后患者报告没有疼痛，并且这些百分比随着认知障碍的增加而增加。影响：疼痛是普遍存在于养老院的居民，特别是在那些认知功能障碍，往往未经治疗。
Purpose: The aim of this study was to validate a pain scale for the Minimum Data Set (MDS) assessment instrument and examine prevalence of pain in major nursing home subpopulations, including type of admission and cognitive status. Design and Methods: This study considered validation of the MDS pain items and derivation of scale performed against the Visual Analogue Scale (VAS), using Automatic Interaction Detection. The derivation data describe 95 postacute care nursing home patients who are able to communicate. The scale is then used in retrospective analysis of 34,675 Michigan nursing home residents. Results: A four-group scale was highly predictive of VAS pain scores (variance explanation 56%) and therefore quite valid in detecting pain. In the prevalence sample, only 47% of postacute patients compared to 63% of postadmission patients reported no pain, and these percentages rose with increasing cognitive impairment. Implications: Pain is prevalent in nursing home residents, especially in those with cognitive dysfunction, and often untreated.