Griffith University, Nathan Queensland, Australia.
Sichuan University, Chengdu, P.R. China.
J Fam Nurs. 2023 Feb;29(1):43-58. doi: 10.1177/10748407221114502. Epub 2022 Jul 27.
This review aimed to synthesize current evidence on family involvement in pain management for people living with dementia from the perceptions of family carers and health care professionals. An integrative review was conducted using CINAHL, Embase, PubMed, PsycINFO and Cochrane Library electronic databases. The Mixed Methods Appraisal Tool was used to appraise the articles, followed by thematic analysis. Twelve studies were included and four themes were identified: (1) The roles and responsibilities of family carers; (2) Enablers and barriers for pain identification; (3) Strategies and concerns for pain management; and (4) Lack of staff education and communication with health care providers. Family carers play an important role in pain assessment and management for people living with dementia, but they cannot be actively involved in this process due to a lack of communication with health care providers. An integrated approach that includes education and communication with family carers and health care providers is needed.
本综述旨在综合目前有关痴呆症患者家庭参与疼痛管理的证据，从家庭照顾者和医疗保健专业人员的角度出发。采用综合方法，使用 CINAHL、Embase、PubMed、PsycINFO 和 Cochrane Library 电子数据库进行研究。使用混合方法评估工具对文章进行评估，然后进行主题分析。共纳入 12 项研究，确定了 4 个主题：（1）家庭照顾者的角色和责任；（2）疼痛识别的促进因素和障碍；（3）疼痛管理的策略和关注点；（4）缺乏工作人员教育和与医疗保健提供者的沟通。家庭照顾者在评估和管理痴呆症患者的疼痛方面发挥着重要作用，但由于与医疗保健提供者缺乏沟通，他们无法积极参与这一过程。需要采取一种综合方法，包括对家庭照顾者和医疗保健提供者进行教育和沟通。
