Wenzel Arlett, Budnick Andrea, Schneider Juliana, Kreutz Reinhold, Dräger Dagmar
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin.
Institut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin.
Pflege. 2020 Apr;33(2):63-73. doi: 10.1024/1012-5302/a000717. Epub 2020 Mar 11.
Pain management in nursing care in outpatient older adults in need of care International data report a prevalence rate for chronic pain of up to 50 % in community dwelling older adults (> 65 years). A national study reported a prevalence rate of 68,5 % among outpatient adults (≥ 18 years). Nursing care has an important meaning in pain management. However, previous research on the quality of pain management in nursing care is insufficient. The aim of this study is to evaluate the appropriateness of pain management in nursing care in our target group. The cross-sectional study is based on data from . The study comprises 219 patients. Information on subjective pain experience and pain management were obtained by face-to-face interviews and nursing documentation. Our findings indicate considerable deficits in terms of pain management in nursing care. Results show a lack of systematic pain assessment as well as missing documentation of therapeutic aims and pain management in nursing care. The identified deficits might be the result of current framework conditions that separate nursing pain treatment in Volume V and Volume XI of the German Social Security Code services. Appropriateness in pain management in nursing care can only be ensured if framework conditions are optimized.
门诊老年护理对象的疼痛管理 国际数据显示，社区居住的老年人（>65岁）中慢性疼痛的患病率高达50%。一项全国性研究报告称，门诊成人（≥18岁）中患病率为68.5%。护理在疼痛管理中具有重要意义。然而，以往关于护理中疼痛管理质量的研究并不充分。本研究的目的是评估我们目标群体护理中疼痛管理的适宜性。这项横断面研究基于……的数据。该研究包括219名患者。通过面对面访谈和护理记录获得了关于主观疼痛体验和疼痛管理的信息。我们的研究结果表明，护理中的疼痛管理存在相当大的不足。结果显示缺乏系统的疼痛评估，以及护理中治疗目标和疼痛管理记录缺失。所发现的不足可能是由于德国社会保障法典第五卷和第十一卷中护理疼痛治疗分开的现行框架条件所致。只有优化框架条件，才能确保护理中疼痛管理的适宜性。
