Cervo Frank A, Raggi Robert P, Bright-Long Lory E, Wright William K, Rows Ginette, Torres Adrian E, Levy Ronnie B, Komaroff Eugene
Long Island State Veterans Home, Stony Brook, New York 11790, USA.
Am J Alzheimers Dis Other Demen. 2007 Apr-May;22(2):112-9. doi: 10.1177/1533317506298907.
The purpose of this study was to develop a pain assessment tool utilized by certified nursing assistant (CNA) direct-care providers for nursing home residents with dementia and to examine the impact of such a tool on their function, behavior, or medication use. In the first phase, 41 items from an observational pain assessment tool were correlated with an objective pain "gold standard"; 12 statistically significant items were retained and used in the CNA pain assessment tool. Symmetry analysis was then conducted to determine if this resulted in any significant change in resident function, behavior, or medication use. This failed to detect significant change in these characteristics. A pain assessment tool utilized by CNA direct-care providers can be developed for use in nursing home residents with dementia. Further study is required to determine whether the use of such a tool will improve their function or quality of life.
本研究的目的是开发一种由认证护理助理（CNA）直接护理人员用于痴呆症疗养院居民的疼痛评估工具，并研究该工具对其功能、行为或药物使用的影响。在第一阶段，将观察性疼痛评估工具中的41项与客观疼痛“金标准”进行关联；保留12项具有统计学意义的项目并用于CNA疼痛评估工具。然后进行对称性分析，以确定这是否会导致居民功能、行为或药物使用发生任何显著变化。这未能检测到这些特征的显著变化。可以开发一种由CNA直接护理人员使用的疼痛评估工具，用于痴呆症疗养院居民。需要进一步研究以确定使用这种工具是否会改善他们的功能或生活质量。
