Anderson Alison R, Deng Jie, Anthony Robert S, Atalla Sebastian A, Monroe Todd B
Vanderbilt University School of Nursing, Vanderbilt University, 461 21st Avenue South, Nashville, TN 37240, USA.
Vanderbilt University School of Nursing, Vanderbilt University, 461 21st Avenue South, Nashville, TN 37240, USA.
Crit Care Nurs Clin North Am. 2017 Dec;29(4):519-537. doi: 10.1016/j.cnc.2017.08.010. Epub 2017 Sep 27.
The risk of pain in adults with dementia worsens with advancing age. Painful comorbidities may be underassessed and inadequately treated. Receiving treatment in critical care settings may indicate greater occurrences of pain and complications. Pain may exacerbate behavioral and psychological symptoms of dementia (BPSD), such as agitation. Complementary and alternative medicine (CAM) therapies may alleviate pain and BPSD, and continuity of therapy may bolster these therapeutic effects. This review did not reveal an apparent benefit of aromatherapy; however, improvements in BPSD have been shown previously. Massage and human interaction did demonstrate efficacy in reducing BPSD and pain.
患有痴呆症的成年人的疼痛风险会随着年龄的增长而恶化。疼痛性合并症可能未得到充分评估和治疗。在重症监护环境中接受治疗可能表明疼痛和并发症的发生率更高。疼痛可能会加剧痴呆症的行为和心理症状(BPSD),如躁动。补充和替代医学(CAM)疗法可能会减轻疼痛和BPSD,并且治疗的连续性可能会增强这些治疗效果。本综述未发现芳香疗法有明显益处;然而,此前已显示其对BPSD有改善作用。按摩和人际互动确实证明在减轻BPSD和疼痛方面有效。