Snow A Lynn, Weber Jan B, O'Malley Kimberly J, Cody Marisue, Beck Cornelia, Bruera Eduardo, Ashton Carol, Kunik Mark E
Houston Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, Houston, TX 77030, USA.
Dement Geriatr Cogn Disord. 2004;17(3):240-6. doi: 10.1159/000076446. Epub 2004 Jan 27.
The Non-Communicative Patient's Pain Assessment Instrument (NOPPAIN) is a nursing assistant-administered instrument for assessing pain behaviors in patients with dementia. This study investigated the validity of the NOPPAIN. Twenty-one nursing assistants (NAs) with no prior training in using the NOPPAIN watched six videos, each portraying a bed-bound patient with severe dementia receiving personal care from a nursing assistant and responding with a different level of pain intensity. The NAs completed a NOPPAIN rating for each video. The NAs were also presented with each possible pair of videos and asked to identify the video showing the most pain. Results indicated the NAs were quite accurate in their ratings of the videos, providing excellent preliminary evidence on the use of the NOPPAIN for detecting pain in nursing home patients with dementia.
非交流性患者疼痛评估工具(NOPPAIN)是一种由护理助理操作的用于评估痴呆患者疼痛行为的工具。本研究调查了NOPPAIN的有效性。21名之前未接受过使用NOPPAIN培训的护理助理观看了6段视频,每段视频都描绘了一名卧床的重度痴呆患者接受护理助理的个人护理,并表现出不同程度的疼痛强度。护理助理对每段视频完成了一次NOPPAIN评分。还向护理助理展示了每一对可能的视频,并要求他们识别出显示疼痛最严重的视频。结果表明,护理助理对视频的评分相当准确,为使用NOPPAIN检测养老院痴呆患者的疼痛提供了出色的初步证据。