While Christine, Jocelyn Angus
Royal District Nursing Service, Victoria University, Melbourne, Australia.
Br J Community Nurs. 2009 Oct;14(10):438, 439-42. doi: 10.12968/bjcn.2009.14.10.44496.
Dementia may alter the experience of pain and the ability to communicate it; this will, in turn, result in poor pain detection and inadequate treatment. The aim of this literature review is to identify the observational pain scales that have clinical utility and feasibility for use with people living with dementia in the community by district nurses in their daily practice. It was found that a consensus could not be reached on which tool to use in clinical practice. A further evaluation of the Non-communicative Patients Pain Assessment Instrument has improved its feasibility for use in the community environment, as it can be administered by family carers. This literature review concludes that observational pain scales need to be validated for use in the community and that there is a need to consider the involvement of the informal carer in the assessment of pain.
痴呆症可能会改变疼痛体验以及表达疼痛的能力；反过来，这将导致疼痛检测不佳和治疗不足。本综述的目的是确定在社区中，地区护士在日常实践中对痴呆症患者具有临床实用性和可行性的观察性疼痛量表。研究发现，对于在临床实践中使用哪种工具无法达成共识。对非沟通性患者疼痛评估工具的进一步评估提高了其在社区环境中的可行性，因为它可以由家庭护理人员进行管理。本综述得出结论，观察性疼痛量表需要在社区环境中进行验证，并且有必要考虑让非正式护理人员参与疼痛评估。
