Living with persistent pain: experiences of older people receiving home care
Living with persistent pain: experiences of older people receiving home care
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DOI：
10.1046/j.1365-2648.2002.02371.x
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发表时间：
2002-11-01
影响因子：
3.8
通讯作者：
Edberg, AK
中科院分区：
文献类型：
--
作者：
Blomqvist, K;Edberg, AK
背景虽然老年人的疼痛问题越来越受到关注，但对于那些不再独立管理而是依赖专业人员帮助日常生活的人如何经历或处理疼痛仍然知之甚少。为老年人开发疼痛管理需要这样的知识。探讨老年持续性疼痛患者的自我感觉、疼痛感、疼痛生活、他人感觉及疼痛处理方式。2000年1月至6月，收集了90名老年人接受家庭护理的护理辅助人员在自己的家中或庇护住所。一个类型的老年人在持续性疼痛的发展。活动处理疼痛进行了检查，使用内容分析。受访者对自己和痛苦的体验各不相同。两组老年人，被认为是“有能力和自豪”和“自信和宁静”，表示满意，尽管痛苦，而组“误解和失望”和“辞职和悲伤”表示不满。最常见的策略是药物治疗、休息、活动、分散注意力的活动和谈论疼痛。受访者通过权衡活动的好处和给他们的日常生活带来的坏处来选择策略。这项研究表明，老年人的特点，如他们的方式来体验自己，疼痛如何影响他们的日常生活，以及他们如何看待疼痛管理的效果和副作用是需要确定的工作人员评估疼痛和计划疼痛管理时的领域。通过倾听和相信他们的抱怨，评估药物和非药物疼痛管理的效果和副作用，以及强调日常活动的重要性，如移动和分散注意力以减轻疼痛，可以改善对老年人疼痛的照顾。
Background. Although the topic of pain among older people has received increasing interest, little is still known about how pain is experienced or handled by those who no longer manage independently but depend on professionals for help with daily living. Developing pain management for older people requires such knowledge.Aim. To explore sense of self, sense of pain, daily living with pain, sense of others and ways of handling pain in older people with persistent pain.Methods. Interviews with 90 older people receiving home care from nursing auxiliaries in their own homes or in sheltered accommodation were collected from January to June 2000. A typology of older people in persistent pain was developed. Activities for handling pain were examined using content analysis.Findings. Respondents' experiences of themselves and their pain varied. Two groups of older people, considered as 'competent and proud' and 'confident and serene', expressed satisfaction in spite of pain, while the groups 'misunderstood and disappointed' and 'resigned and sad' expressed dissatisfaction. The most common strategies used were medication, rest, mobility, distracting activities and talking about pain. Respondents chose strategies by balancing the advantages of the activities against the disadvantages these brought for their daily living.Conclusion. This study indicates that characteristics of the older people, such as their way of experiencing themselves, how pain affects their daily life and how they perceive effects and side-effects of pain management are areas that need to be identified when staff assess pain and plan pain management. Caring for older people in pain could be improved by listening to and believing their complaints, evaluating effects and side-effects from medications and nonpharmacological pain management and by emphasising the importance of common everyday activities such as mobility and distraction to relieve pain.