Murdoch Julie, Larsen Debra
Royal Devon and Exeter Hospital, Exeter, Devon.
Nurs Stand. 2004;18(38):33-9. doi: 10.7748/ns2004.06.18.38.33.c3621.
Accurate assessments of pain help healthcare professionals to identify its source and manage it appropriately. Pain in cognitively impaired older adults is difficult to assess and this can result in poor management and outcomes. In response to the vulnerability of this patient group, researchers have produced a variety of tools for pain assessment in cognitively impaired older adults.
Replication research is recommended to validate further and generalize results, although there is enough evidence to support the use of direct observation of behaviour in identifying pain in this group of patients.
准确评估疼痛有助于医护人员确定疼痛来源并进行适当处理。认知受损的老年人的疼痛难以评估，这可能导致处理不当和预后不佳。针对这一患者群体的脆弱性，研究人员已开发出多种用于评估认知受损老年人疼痛的工具。
建议进行重复研究以进一步验证并推广研究结果，尽管已有足够证据支持通过直接观察行为来识别该组患者的疼痛。
