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评估和处理智障人士的疼痛。

Evaluating and Handling the Pain of People With Intellectual Disability.

机构信息

Gerencia de Atención Integrada de Ciudad Real, Supervisor of the Teaching and Training Research Area, Ciudad Real, Spain.

Public Health Technician, Quality Unit, Gerencia de Atención Integrada de Ciudad Real, Ciudad Real, Spain.

出版信息

Pain Manag Nurs. 2022 Jun;23(3):311-317. doi: 10.1016/j.pmn.2021.08.005. Epub 2021 Sep 4.

DOI:10.1016/j.pmn.2021.08.005
PMID:34493439
Abstract

Anecdotal reports have suggested people with intellectual disabilities experience more pain than the general population due to additional co-morbidities and secondary conditions. This multicenter comparative cross-sectional study aimed to evaluate the prevalence, factors, and treatment modalities in people with intellectual disabilities (PID) as observed by their caregivers and reported through distributed questionnaires. The study sample included 130 PID users of centers in Ciudad Real (Spain). Variables related to sociodemographic characteristics, health problems, problem behaviors, and pain were collected. Among participants, 78 (60%) of PID were males, and their mean age was 43.8 years (SD = 13.57). Pain was identified in 29 PID (22.3%; 95% confidence interval [CI] 14.99-29.81), and drugs for pain were administered to 33 PID (26.4%; 95%CI 19-34). The prevalence of pain in the sampled PID, its severity, and the analgesic administration rate were lower than those in the general population. This situation may be aggravated for PID with communication problems.

摘要

有传闻称,智障人士由于合并症和继发疾病,比一般人群经历更多的疼痛。本多中心对照性横断面研究旨在通过问卷调查评估智障人士(PID)看护者观察到的疼痛发生率、相关因素和治疗方法。研究样本包括来自西班牙雷亚尔城(Ciudad Real)中心的 130 名 PID 用户。收集了与人口统计学特征、健康问题、行为问题和疼痛相关的变量。参与者中,78 名(60%)PID 为男性,平均年龄为 43.8 岁(标准差=13.57)。29 名(22.3%;95%置信区间 [CI] 14.99-29.81)PID 被确定有疼痛,33 名(26.4%;95%CI 19-34)PID 接受了止痛药物治疗。抽样 PID 的疼痛发生率、严重程度和镇痛药物使用率均低于一般人群。对于有沟通问题的 PID,这种情况可能会更严重。

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Chronic Physical Pain in Children With and Without Autism Spectrum Disorder in the United States: Findings from the 2016 - 2021 National Survey of Children's Health.美国有和没有自闭症谱系障碍儿童的慢性身体疼痛:2016 - 2021年全国儿童健康调查结果
J Autism Dev Disord. 2025 Apr 29. doi: 10.1007/s10803-025-06846-4.
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Investigating pain-related medication use and contribution to polypharmacy in adults with intellectual disabilities: a systematic review.调查成年智力残疾患者中与疼痛相关的药物使用情况及其对多重用药的影响:一项系统综述。
BMC Med. 2024 Dec 2;22(1):565. doi: 10.1186/s12916-024-03770-9.
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Automated facial recognition system using deep learning for pain assessment in adults with cerebral palsy.
使用深度学习的自动面部识别系统用于评估成人脑瘫患者的疼痛
Digit Health. 2024 Jun 5;10:20552076241259664. doi: 10.1177/20552076241259664. eCollection 2024 Jan-Dec.
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Pain assessment tools in adults with communication disorders: systematic review and meta-analysis.成人沟通障碍疼痛评估工具:系统评价和荟萃分析。
BMC Neurol. 2024 Feb 17;24(1):66. doi: 10.1186/s12883-024-03539-w.