University of Maryland School of Nursing, Baltimore, Maryland.
Penn State University, University Park, Pennsylvania.
Pain Manag Nurs. 2023 Jun;24(3):248-253. doi: 10.1016/j.pmn.2022.12.010. Epub 2023 Feb 1.
During the hospital stay pain is very common among patients living with dementia.
Descriptive data was obtained from chart review and included age, gender, race, comorbidities and admitting diagnosis.
The purpose of this study was to describe pain among patients living with dementia, the use of pharmacologic and nonpharmacologic treatment, and to compare treatments among those with and without pain.
This was a descriptive study using baseline data from the first 233 participants from the study "Testing the Implementation of Function Focused Care for Acute Care Using the Evidence Integration Triangle (FFC-AC-EIT)".
PARTICIPANTS/SUBJECTS: The mean age of participants was 83 (SD=5) and the majority was female (65%) and White (67%) with evidence of dementia (based on a mean Saint Louis University Mental Status Test = 7.23, SD=5.85).
Overall 98 (42%) participants had pain and 135 (58%) no pain. Only 14 (6%) participants received no nonpharmacologic or pharmacologic interventions for pain and five of these individuals had pain. The most frequently used pharmacologic intervention among all participants was acetaminophen (n = 121, 52%), then tramadol (n = 19, 8%). Comfort measures and general nonpharmacologic approaches were the most frequently used non-pharmacologic approaches, then physical activity and therapeutic communication. From admission to discharge, there was a trend towards a decrease in pain. There was more use of opioids, physical activity, and therapeutic communication in the no pain group versus the pain group.
The majority of hospitalized medical patients living with dementia were treated for pain, but an ongoing focus is needed to assure optimal pain management for all patients.
在住院期间，患有痴呆症的患者常常会感到疼痛。
从病历回顾中获得描述性数据，包括年龄、性别、种族、合并症和入院诊断。
本研究旨在描述患有痴呆症的患者的疼痛情况、药物和非药物治疗的使用情况，并比较有疼痛和无疼痛患者的治疗方法。
这是一项描述性研究，使用了“使用证据整合三角（FFC-AC-EIT）测试急性护理功能聚焦护理的实施”研究中前 233 名参与者的基线数据。
参与者/受试者：参与者的平均年龄为 83 岁（标准差=5），大多数为女性（65%）和白人（67%），有痴呆症的证据（基于平均圣路易斯大学精神状态测试=7.23，标准差=5.85）。
总体而言，98 名（42%）参与者有疼痛，135 名（58%）无疼痛。只有 14 名（6%）参与者未接受任何非药物或药物干预治疗疼痛，其中 5 名有疼痛。所有参与者中最常使用的药物干预是对乙酰氨基酚（n=121，52%），其次是曲马多（n=19，8%）。舒适措施和一般非药物方法是最常使用的非药物方法，其次是体育活动和治疗性沟通。从入院到出院，疼痛呈下降趋势。无疼痛组比疼痛组更常使用阿片类药物、体育活动和治疗性沟通。
大多数患有痴呆症的住院内科患者都接受了疼痛治疗，但仍需要持续关注，以确保所有患者都能得到最佳的疼痛管理。
