老年人痴呆症疼痛管理护理实践评估。
Pain management nursing practice assessment in older adults with dementia.
机构信息
University Hospital Of Vic-Vic Hospital Consortium (HUV-CHV). C. Francesc Plà "El Vigatà", Vic, Barcelona, Spain.
Research Group on Methodology, Methods, Models and Health and social Outcomes (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC). C. Sagrada Família, Vic, Barcelona, Spain.
出版信息
Nurs Open. 2021 Nov;8(6):3349-3357. doi: 10.1002/nop2.880. Epub 2021 Apr 7.
AIM
To assess pain management nursing practice in older adults with dementia through electronic health records (EHR).
DESIGN
Retrospective study.
METHODS
Data were collected from EHR related to pain management in older adults with dementia treated at the Acute Geriatrics Unit (AGU) of a university hospital in early 2018.
RESULTS
EHR related to the pain of 111 patients were reviewed. Pain intensity was assessed at admission in 88% of patients and a median of 1.9 times per day of stay. A disproportionate number of the assessments (39%) occurred during the late shift. A median of 1 drug per day was administered. Pain was recorded in 28% of patients' care plans, and non-pharmacological interventions were recorded in 12%. In conclusion, exist variability in pain management nursing practice in older adults with dementia. Admission diagnosis correlated with the analgesic administration schedule, the number of drugs administered and the number of pain nursing annotations.
目的
通过电子健康记录（EHR）评估老年痴呆症患者的疼痛管理护理实践。
设计
回顾性研究。
方法
2018 年初，从与大学附属医院急性老年病科（AGU）治疗的老年痴呆症患者的疼痛管理相关的 EHR 中收集数据。
结果
共回顾了 111 例患者的 EHR。88%的患者在入院时评估了疼痛强度，平均每天评估 1.9 次。评估的比例（39%）不成比例地发生在夜班。平均每天给予 1 种药物。在 28%的患者护理计划中记录了疼痛，在 12%的患者护理计划中记录了非药物干预措施。总之，老年痴呆症患者的疼痛管理护理实践存在差异。入院诊断与镇痛药物使用方案、给予的药物数量和疼痛护理注释数量相关。
Zotero 插件