文化对护士观察与痴呆相关疼痛的影响：综合述评。
Cultural Influence on Nurses' Pain Observations Related to Dementia: An Integrative Review.
机构信息
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia; Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Sri Lanka.
Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia; School of Nursing and Midwifery, Nathan, Griffith University, Brisbane, Queensland, Australia.
出版信息
Pain Manag Nurs. 2023 Aug;24(4):406-426. doi: 10.1016/j.pmn.2023.01.006. Epub 2023 Mar 11.
BACKGROUND
Nurses play a pivotal role in pain observation in people living with dementia. However, currently, there is little understanding of the influence culture may have on the way nurses observe pain experienced by people living with dementia.
AIM
This review explores the influence of culture on nurses... pain observations experienced by people living with dementia.
SETTINGS
Studies were included regardless of the setting (e.g., acute medical care, long-term care, community).
DESIGN
An integrative review.
PARTICIPANTS/SUBJECTS: PubMed, Medline, Psychological Information Database, Cochrane Library, Scopus, Web of Science, Cumulative Index of Nursing and Allied Health Literature, and ProQuest were included in the search.
METHODS
Electronic databases were searched using synonyms for "dementia," "nurse," "culture," and "pain observation." The review included ten primary research papers following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.
RESULTS
Nurses reported that pain observation in people living with dementia is challenging. Four themes were identified by data synthesis: (1) using behaviors for pain observation; (2) information from carers for pain observation; (3) pain assessment tools for pain observation; and (4) role of knowledge, experience, and intuition in pain observation.
CONCLUSIONS
There is a limited understanding of the role of culture on nurses' pain observations. However, nurses take a multifaceted approach to observing pain using behaviors, information from carers, pain assessment tools, and their knowledge, experience, and intuition.
背景
护士在观察痴呆症患者的疼痛方面起着关键作用。然而，目前对于文化可能对护士观察痴呆症患者疼痛的方式产生的影响知之甚少。
目的
本综述探讨了文化对护士观察痴呆症患者疼痛的影响。
设置
无论设置如何（例如，急性医疗护理、长期护理、社区），都包括研究。
设计
综合综述。
参与者/受试者：使用“痴呆症”、“护士”、“文化”和“疼痛观察”的同义词在 PubMed、Medline、心理信息数据库、Cochrane 图书馆、Scopus、Web of Science、护理学和联合健康文献累积索引和 ProQuest 中进行了电子数据库搜索。
方法
综述包括遵循系统评价和荟萃分析报告标准的十篇原始研究论文。
结果
护士报告说，观察痴呆症患者的疼痛具有挑战性。通过数据综合确定了四个主题：（1）使用行为进行疼痛观察；（2）护理人员提供的信息用于疼痛观察；（3）用于疼痛观察的疼痛评估工具；（4）知识、经验和直觉在疼痛观察中的作用。
结论
对于文化对护士疼痛观察的影响，我们的了解有限。然而，护士采用多方面的方法来观察疼痛，包括行为、护理人员提供的信息、疼痛评估工具以及他们的知识、经验和直觉。
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