Registered nurse, Department of Nursing and Clinical Sciences, Faculty of Health and Social Sciences, Bournemouth University.
Associate Professor (Nursing), Department of Nursing and Clinical Sciences, Faculty of Health and Social Sciences, Bournemouth University.
Int J Palliat Nurs. 2020 Mar 2;26(3):110-118. doi: 10.12968/ijpn.2020.26.3.110.
Nurses play an important role in assessing and managing pain. However, this is often poorly managed for people living with dementia.
To explore nurses' experiences of pain management in end-of-life dementia care.
Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, a systematic narrative review of research papers published in English between 2008 and 2018 was conducted. Data sources were CINAHL, Medline, PsycINFO, ScienceDirect and SocIndex. Articles focused on nursing at the end of life and pain management in people with dementia.
Eight articles were retrieved that met the search criteria. Four studies used qualitative methodology, two quantitative and two mixed methods. Studies from the UK dominated (=5), the remainder were from Sweden, Norway and the US. Following thematic analysis, three themes were identified: training and education in pain management at the end of life for people with dementia, challenges in identifying pain and pain assessment tool use.
The review revealed inadequate education for nurses concerning end-of-life care for people living with dementia, notably concerning pain recognition and use of assessment tools. It is recommended that specialist education is mandated for all nurses working with this client group to improve care delivery.
护士在评估和管理疼痛方面发挥着重要作用。然而，对于患有痴呆症的人来说，这往往管理不善。
探索护士在临终痴呆护理中疼痛管理的经验。
使用系统评价和荟萃分析的首选报告项目（PRISMA）指南，对 2008 年至 2018 年间以英文发表的研究论文进行了系统的叙述性综述。数据来源包括 CINAHL、Medline、PsycINFO、ScienceDirect 和 SocIndex。文章重点关注临终护理和痴呆症患者的疼痛管理。
符合搜索标准的文章有 8 篇。四项研究采用定性方法，两项采用定量方法，两项采用混合方法。英国的研究居多（=5），其余来自瑞典、挪威和美国。经过主题分析，确定了三个主题：对患有痴呆症的临终患者进行疼痛管理的培训和教育、识别疼痛和使用疼痛评估工具的挑战。
综述显示，护士在痴呆症患者临终护理方面的教育不足，特别是在疼痛识别和使用评估工具方面。建议为所有与该患者群体合作的护士强制提供专业教育，以提高护理质量。
