Pain Assessment in Non-Communicative Palliative Care Patients

无法沟通的姑息治疗患者的疼痛评估

基本信息

  • 批准号:
    7457906
  • 负责人:
  • 金额:
    $ 36.07万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2006
  • 资助国家:
    美国
  • 起止时间:
    2006-09-05 至 2011-06-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): Pain, the universal human experience, has been the focus of intense efforts to improve its management in ill clinical populations for years, but sadly, many people continue to suffer with inadequately managed pain. Good assessment is fundamental to managing pain, and is based on individual self-report because pain is subjective. People who cannot communicate their pain because of underlying medical conditions and treatments are at higher risk for unrecognized pain, unnecessary suffering, additional co-morbidities, poorer quality of life, and prolonged healing and recovery. Many of these individuals are receiving palliative care, which is now delivered in tertiary acute, hospice, long term, and home care settings. A major emphasis is pain management, yet no satisfactory pain assessment tools are available for non-communicative palliative care patients with pain. The research team's preliminary studies of the Multidimensional Objective Pain Assessment Tool (MOPAT), which uses behavioral and physiological indicators to assess pain, demonstrate initial evidence of reliability and validity. The specific aims of this study are to: 1) test the reliability and validity of the MOPAT for assessing acute pain in non-communicative patients in three different types of palliative care settings: 1) inpatient tertiary acute care hospital, 2) inpatient community hospice, and 3) inpatient Veterans Administration hospice; and 2) appraise the clinical utility of the MOPAT when used by nurses to assess acute pain in non-communicative patients in two different types of palliative care settings: 1) inpatient tertiary acute care hospital, and 2) inpatient community hospice. Using a methodologic design, the researchers will test the tool in 130 acute care inpatients (pre- and post-pain medication intervention) and 100 hospice inpatients (longitudinally for duration of admission) using observations by pairs of raters. Extensive demographic, clinical, and treatment data will also be collected. The analyses will use Generalizability Theory to evaluate reliability, a theoretical approach and causal measurement theory to evaluate validity, and descriptive statistics and mixed modeling to evaluate clinical utility. If this study is successful, knowledge of how to assess pain in this vulnerable population will be advanced. It should help facilitate the management of pain in non-communicative patients across palliative care settings and ultimately result in less suffering.
描述(由申请人提供):疼痛是人类的普遍经历,多年来一直是改善临床患病人群管理的重点,但遗憾的是,许多人继续遭受疼痛管理不足的痛苦。良好的评估是管理疼痛的基础,并基于个人的自我报告,因为疼痛是主观的。由于潜在的医疗条件和治疗而无法交流疼痛的人面临着更高的风险,无法识别疼痛,不必要的痛苦,额外的合并症,生活质量较差,以及长期的愈合和恢复。这些人中的许多人正在接受姑息治疗,现在在三级急性,临终关怀,长期和家庭护理环境中提供。一个主要的重点是疼痛管理,但没有令人满意的疼痛评估工具可用于非沟通姑息治疗疼痛患者。研究小组对多维客观疼痛评估工具(MOPAT)的初步研究,该工具使用行为和生理指标来评估疼痛,证明了可靠性和有效性的初步证据。本研究的具体目的是:1)测试MOPAT评估三种不同类型的姑息治疗环境中的非交流患者急性疼痛的信度和效度:1)住院三级急诊医院,2)住院社区临终关怀,3)住院退伍军人管理局临终关怀;以及2)评估MOPAT在两种不同类型的姑息治疗环境中被护士用于评估非交流患者的急性疼痛时的临床效用:1)住院三级急症护理医院,和2)住院社区临终关怀。使用方法学设计,研究人员将在130名急性护理住院患者(疼痛药物干预前后)和100名临终关怀住院患者(住院期间纵向)中使用成对评分员的观察结果测试该工具。还将收集广泛的人口统计学、临床和治疗数据。分析将使用概化理论评价可靠性,使用理论方法和因果测量理论评价有效性,使用描述性统计和混合模型评价临床效用。如果这项研究是成功的,知识如何评估疼痛在这个脆弱的人群将是先进的。它应该有助于促进整个姑息治疗环境中的非交流患者的疼痛管理,并最终减少痛苦。

项目成果

期刊论文数量(3)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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DEBORAH B. MCGUIRE其他文献

DEBORAH B. MCGUIRE的其他文献

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{{ truncateString('DEBORAH B. MCGUIRE', 18)}}的其他基金

Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients
危重非沟通姑息治疗患者的急性疼痛管理
  • 批准号:
    8856368
  • 财政年份:
    2012
  • 资助金额:
    $ 36.07万
  • 项目类别:
Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients
危重非沟通姑息治疗患者的急性疼痛管理
  • 批准号:
    8665822
  • 财政年份:
    2012
  • 资助金额:
    $ 36.07万
  • 项目类别:
Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients
危重非沟通姑息治疗患者的急性疼痛管理
  • 批准号:
    8525460
  • 财政年份:
    2012
  • 资助金额:
    $ 36.07万
  • 项目类别:
Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients
危重非沟通姑息治疗患者的急性疼痛管理
  • 批准号:
    8341949
  • 财政年份:
    2012
  • 资助金额:
    $ 36.07万
  • 项目类别:
Cranial Stimulation for Chemotherapy Symptoms in Breast Cancer
颅脑刺激治疗乳腺癌化疗症状
  • 批准号:
    8444645
  • 财政年份:
    2009
  • 资助金额:
    $ 36.07万
  • 项目类别:
Pain Assessment in Non-Communicative Palliative Care Patients
无法沟通的姑息治疗患者的疼痛评估
  • 批准号:
    7283747
  • 财政年份:
    2006
  • 资助金额:
    $ 36.07万
  • 项目类别:
Pain Assessment in Non-Communicative Palliative Care Patients
无法沟通的姑息治疗患者的疼痛评估
  • 批准号:
    7145726
  • 财政年份:
    2006
  • 资助金额:
    $ 36.07万
  • 项目类别:
BIOBEHAVIORAL INTERVENTIONS FOR ORAL PAIN AND MUCOSITIS
口腔疼痛和粘膜炎的生物行为干预
  • 批准号:
    6186834
  • 财政年份:
    1995
  • 资助金额:
    $ 36.07万
  • 项目类别:
BIOBEHAVIORAL INTERVENTIONS FOR ORAL PAIN AND MUCOSITIS
口腔疼痛和粘膜炎的生物行为干预
  • 批准号:
    6011523
  • 财政年份:
    1995
  • 资助金额:
    $ 36.07万
  • 项目类别:
NURSING INTERVENTIONS FOR ACUTE ORAL PAIN AND MUCOSITIS
急性口腔疼痛和粘膜炎的护理干预
  • 批准号:
    2257953
  • 财政年份:
    1995
  • 资助金额:
    $ 36.07万
  • 项目类别:

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