Wynne C F, Ling S M, Remsburg R
Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Md., USA.
Geriatr Nurs. 2000 Jan-Feb;21(1):20-3. doi: 10.1067/mgn.2000.105793.
This study was conducted to determine which pain severity and location instruments were most useful in the nursing home setting. Pain severity and location were assessed monthly for 1 year in 37 participants enrolled in a restorative rehabilitation program. Pain location was determined by the residents' indications on a diagram, a doll, and their body. Pain severity was determined by resident response to verbal, visual analog, faces, and word scales. Cognitively impaired residents had greater difficulty using all instruments. The McGill Word Scale was used most to determine pain severity. Pointing to themselves most frequently determined pain location among residents. New strategies are needed for pain assessment in the elderly, especially the cognitively impaired elderly, and a combination of instruments to assess pain in the latter group may be necessary.
本研究旨在确定哪些疼痛严重程度和疼痛部位评估工具在养老院环境中最为有用。对参加恢复性康复计划的37名参与者进行了为期1年的每月疼痛严重程度和疼痛部位评估。疼痛部位通过居民在图表、玩偶和他们自己身体上的指示来确定。疼痛严重程度通过居民对语言、视觉模拟、面部表情和文字量表的反应来确定。认知障碍居民在使用所有工具时都有更大困难。麦吉尔文字量表最常用于确定疼痛严重程度。居民中最常通过指向自己来确定疼痛部位。对于老年人，尤其是认知障碍老年人的疼痛评估需要新的策略，对于后一组人群可能需要结合多种工具来评估疼痛。
