Storti Matteo, Bertozzo Elena, Dal Santo Pierluigi, Mari Marcello, Dal Cengio Luisa, Forni Cristiana, Giantin Valter, Zucchi Alberto
Recenti Prog Med. 2014 Apr;105(4):166-74. doi: 10.1701/1459.16131.
Pain is one of the most frequent symptom in elderly people with dementia and despite of this, it is still under-acknowledged and under-treated. The best approach to pain assessment is to evaluate it with the most appropriate scale. While in the elderly suffering mild-moderate cognitive impairment, it's possible to use self-report scales, in the elderly with severe cognitive impairment the use of observational scales is recommended. The objective of this review is to analyze the various types of pain assessment tools used in patients with cognitive impairment. Literature review was carried out through consultation of the most important bio-medical databases: Medline (PubMed), KT+, Trip Database, Cinahl, Cochrane Library, Embase. The keywords used were: "pain measurement", "pain assessment", "dementia", "validation study", "aged". All keywords were linked using AND and OR boolean operators. Altogether 5 self-report scales and 17 observational scales were retrieved, 7 of which available in Italian validated versions. The review analyzes potential and limitations of each assessment tool, in order to assist the clinician to make the most appropriate choice when using it in health care contexts.
疼痛是老年痴呆患者最常见的症状之一，尽管如此，它仍未得到充分认识和治疗。疼痛评估的最佳方法是使用最合适的量表进行评估。对于轻度至中度认知障碍的老年人，可以使用自我报告量表，而对于严重认知障碍的老年人，建议使用观察量表。本综述的目的是分析认知障碍患者使用的各种疼痛评估工具。通过查阅最重要的生物医学数据库进行文献综述：医学在线数据库（PubMed）、KT+、循证医疗数据库、护理学与健康领域数据库、考克兰图书馆、荷兰医学文摘数据库。使用的关键词为：“疼痛测量”、“疼痛评估”、“痴呆”、“验证研究”、“老年人”。所有关键词均使用“AND”和“OR”布尔运算符进行链接。共检索到5种自我报告量表和17种观察量表，其中7种有意大利语验证版本。本综述分析了每种评估工具的潜力和局限性，以帮助临床医生在医疗保健环境中使用时做出最合适的选择。
