Pinter Georg, Likar Rudolf, Anditsch Martina, Bach Michael, Böhmer Franz, Friedrich Martin, Frühwald Thomas, Gosch Markus, Gugerell Monika, Lampl Christian, Marksteiner Josef, Pietschmann Peter, Pils Katharina, Schirmer Michael
Haus der Geriatrie, Landeskrankenhaus Klagenfurt, Klagenfurt, Austria.
Wien Med Wochenschr. 2010 May;160(9-10):235-46. doi: 10.1007/s10354-010-0797-y.
Due to complex physical and psychological changes in aging, pain measurement and therapeutic treatment of older and geriatric patients present a special challenge. Nevertheless, even for this category of patients, good treatment results are achievable if age-related particulars and problems are consistently heeded and accounted for. That includes adverse sensory and cognitive effects as much as multimorbidity and the polypharmacy that is frequently related to it. An essential prerequisite for adequate pain therapeutic care in elderly patients is consistent pain measurement. While numerical and verbal scales have also proven their usefulness for patients in advanced age who are not cognitively impaired, instruments must be applied for older people with communicative and/or cognitive restrictions with which the observed behavior of those involved can be surveyed in a multidimensional way.
由于衰老过程中复杂的生理和心理变化，老年患者的疼痛测量和治疗面临特殊挑战。然而，即使对于这类患者，如果始终关注并考虑与年龄相关的细节和问题，也能取得良好的治疗效果。这包括不良的感觉和认知影响，以及多重疾病和与之经常相关的多种药物治疗。老年患者获得充分疼痛治疗护理的一个基本前提是持续进行疼痛测量。虽然数字和语言量表已证明对认知未受损的高龄患者有用，但对于有沟通和/或认知障碍的老年人，必须使用能够从多维度调查相关人员观察到的行为的工具。
