Recognising pain in older adults living in sheltered accommodation: the views of nurses and older adults
Recognising pain in older adults living in sheltered accommodation: the views of nurses and older adults
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DOI：
10.1016/s0020-7489(00)00078-x
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发表时间：
2001-06-01
影响因子：
8.1
通讯作者：
Hallberg, IR
中科院分区：
文献类型：
--
作者：
Blomqvist, K;Hallberg, IR
66名随机选择的老年人及其联系护士参加了基于疼痛标准化评估和开放式问题的访谈，重点是疼痛如何表达和识别。样本包括功能正常和认知功能受损的老年人。79%的认知正常的老年人经常感到疼痛。接触护士评估了57%的认知受损老年人的疼痛。陈述的内容表明，疼痛识别是一个基于语言和非语言表达的交流互动过程。这个过程包括试图理解表情的原因和意图，并验证疼痛的存在。老年人比他们的护士更少描述情绪，面部表情和生理反应的变化。认知受损老年人的接触护士判断不动是疼痛的来源，当人处于疼痛中时，可以看到疼痛，并且疼痛比认知健康老年人的接触护士更经常地通过语言和肢体语言表达。护士和老年人的特点可能会促进或阻碍疼痛识别。研究结果表明，需要在工作人员组的反思性讨论，重点是如何进行系统的评估，语言和非语言表达和障碍和促进者认识到老年人的疼痛。(C)2001爱思唯尔科技有限公司版权所有。
Sixty-six randomly selected older adults and their contact nurses participated in interviews based on standardised assessments of pain and open-ended questions Focusing how pain was expressed and recognised. The sample included older adults with normal as well as cognitively impaired function. Seventy-nine percent of older adults with normal cognition were often in pain. Contact nurses assessed pain in 57% of cognitively impaired older adults. The content in the statements showed that pain recognition was a communicative interactive process based on verbal and non-verbal expressions. The process comprised attempts to understand the cause and intention of the expression and to verify the presence of pain. Changes in mood, facial expressions and physiological responses were described less often by older adults than by their nurses. Contact nurses of cognitively impaired older adults judged immobility as the source of pain, that it was possible to see when the person was in pain and that pain was expressed by paralinguistic and body language more often than contact nurses of cognitively healthy older adults. Characteristics of nurses and older adults could facilitate or hinder pain recognition. The findings indicate a need for reflective discussions in the staff group focusing on how to perform systematic assessments of verbal and non-verbal expressions and of hindrances and facilitators for recognising pain in older adults. (C) 2001 Elsevier Science Ltd. All rights reserved.