社区居住的中重度痴呆老年患者的疼痛管理。
Pain management in community-dwelling older adults with moderate-to-severe dementia.
机构信息
Associate Professor, Nayoro City University, Hokkaido, Japan.
Assistant Professor, Yokohama City University, Yokohama, Japan.
出版信息
Int J Palliat Nurs. 2021 May 2;27(3):158-166. doi: 10.12968/ijpn.2021.27.3.158.
BACKGROUND
This study explored visiting nurses' knowledge and beliefs regarding pain management in community-dwelling older adults with moderate-to-severe dementia.
METHODS
A cross-sectional study design was used to collect data in 2019. A questionnaire was mailed to nursing managers at 1037 home-visiting nursing stations in Japan.
FINDINGS
The final analysis included 230 responses. The mean score on the knowledge and belief statements was 14 out of a possible 18, and respondents with more pain management training obtained a higher total score on knowledge than those without such training (p<.001). More than 95% indicated that they needed training on pain management for older adults with dementia.
CONCLUSION
Visiting nurses in Japan require training in pain management for older adults with moderate-to-severe dementia. Despite its usefulness, the current pain management training programme should be improved to enable visiting nurses to manage dementia patients' pain more confidently.
背景
本研究旨在探讨社区居住的中重度痴呆老年患者的访视护士对疼痛管理的知识和信念。
方法
本研究于 2019 年采用横断面研究设计收集数据。向日本 1037 个家庭访视护理站的护理经理邮寄问卷。
结果
最终分析包括 230 份回复。知识和信念陈述的平均得分为 18 分中的 14 分，接受过更多疼痛管理培训的受访者的知识总分高于未接受过此类培训的受访者（p<.001）。超过 95%的受访者表示他们需要接受针对痴呆老年人的疼痛管理培训。
结论
日本的访视护士需要接受针对中重度痴呆老年患者的疼痛管理培训。尽管该培训有用，但目前的疼痛管理培训计划应加以改进，以使访视护士更有信心地管理痴呆患者的疼痛。
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