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痴呆症的悲剧:对神志不清、无法言语的老年人进行疼痛的临床评估。

The tragedy of dementia: clinically assessing pain in the confused nonverbal elderly.

作者信息

Marzinski L R

出版信息

J Gerontol Nurs. 1991 Jun;17(6):25-8. doi: 10.3928/0098-9134-19910601-08.

DOI:10.3928/0098-9134-19910601-08
PMID:2033212
Abstract
  1. Although the number of diagnosed cases of dementia is rapidly increasing in the US, there is little known about pain in this population. 2. Pain assessment is often poorly done and documented, and there is evidence of stereotyping and underestimation of pain by health-care professionals. 3. Demented patients on an Alzheimer's unit displayed markedly atypical pain behaviors that were best assessed by the most experienced nurses. 4. Pain assessment in demented patients is an area requiring further study to determine the best method of assessment and treatment of pain.
摘要
  1. 尽管在美国,痴呆症确诊病例数正在迅速增加,但对于这一人群的疼痛情况却知之甚少。2. 疼痛评估往往做得很差且记录不完整,并且有证据表明医护人员存在对疼痛的刻板印象和低估现象。3. 在阿尔茨海默病病房的痴呆患者表现出明显非典型的疼痛行为,最有经验的护士对其评估效果最佳。4. 痴呆患者的疼痛评估是一个需要进一步研究以确定最佳评估和治疗方法的领域。

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