Development of an assessment framework including signs of pain among elderly people with dementia

制定评估框架，包括痴呆症老年人的疼痛迹象

• 批准号: 23593451
• 负责人: KITAGAWA Kimiko
• 金额: $ 3.49万
• 依托单位: Kyoritsu Women's University (2013)Ibaraki Prefectural University of Health Science (2011-2012)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2011
• 资助国家: 日本
• 起止时间: 2011 至 2013
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-23593451/
• 关键词: 認知症; 痛み; 高齢者; 評価; 緩和ケア; 終末期; 認知症高齢者; 評価指標; 苦痛; 苦痛症状

To develop an assessment framework including signs of pain as an observational assessment tool to screen for pain among elderly people with dementia.(1) Seventeen nurses were interviewed regarding specific behaviors with pain in patients with dementia.The interview results were analyzed on the basis of the following six categories: words/sounds,facial expressions,body language, daily living activities,behaviors/moods, and physiological responses.A total of 36 sub-items were elicited.(2)In a survey of 106 elderly dementia suffering from pain,6 items were observed in >30% of the individuals,whereas 13 items were present in <10% of the individuals.(3)In a survey for evaluating signs of pain that could be appropriately include in the pain assessment framework,17 items were rated as appropriate by less than 75% of nurses.This resulted in a final version of 31 signs of pain in 6 categories.

建立一个评估框架，包括疼痛的迹象作为观察评估工具，以筛查老年痴呆症患者的疼痛。(1)以17名护理人员为研究对象，就痴呆患者疼痛行为进行访谈，从言语/声音、面部表情、肢体语言、日常生活活动、行为/情绪、生理反应6个方面对访谈结果进行分析，共引出36个分项。(2)In对106例老年痴呆患者疼痛的调查显示，有6项疼痛的患者占30%以上，有13项疼痛的患者占10%以下。(3)In一项评估疼痛症状的调查，可以适当地包括在疼痛评估框架，17个项目被评为适当的不到75%的护士。这导致了在6个类别的31个疼痛症状的最终版本。

项目成果

認知機能低下のある高齢患者の痛みの評価患者の痛み行動・反応に対する看護師の着目点

认知能力下降的老年患者的疼痛评估。护士关注患者的疼痛行为和反应。

• 发表时间: 2012
• 期刊: 老年精神医学雑誌
• 作者: 檪直美（執筆担当章は単著）小櫃芳江;鈴木知佐子監修;北川公子
• 通讯作者: 北川公子

認知機能低下のある高齢患者の痛みの評価：患者の痛み行動・反応に対する看護師の着目点

认知衰退老年患者的疼痛评估：护士关注患者的疼痛行为和反应

• 发表时间: 2012
• 期刊: 老年精神医学雑誌
• 作者: 檪直美（執筆担当章は単著）小櫃芳江;鈴木知佐子監修;北川公子;北川公子
• 通讯作者: 北川公子