Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA; Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA.
University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242-1121, USA.
Geriatr Nurs. 2023 Sep-Oct;53:146-152. doi: 10.1016/j.gerinurse.2023.06.025. Epub 2023 Aug 2.
Like other older adults, people living with dementia (PLWD) experience pain, and the task of pain assessment often falls to family caregivers. In this study, we surveyed family caregivers of PLWD to determine the frequency with which they use different elements of pain assessment. We also determined correlations of family caregivers' characteristics (caregiving self-efficacy, relationship duration and type, mood, education level, and health literacy) with their use of the elements of pain assessment. Participants reported frequent use of many pain assessment elements. Statistically significant correlations were found between caregiving self-efficacy for obtaining respite and asking others about noticed behavior change (rho=.0.41, p=.007); and for responding to disruptive patient behaviors for multiple pain assessment elements including observing pain behaviors (rho=0.49, p<.001), asking others about noticed behavior change (rho=0.54, p<.001) and rechecking (rho=0.56, p<.001). Continued efforts are needed to describe pain assessments by family caregivers of PLWD.
和其他老年人一样，患有痴呆症的老年人（PLWD）也会经历疼痛，而评估疼痛的任务通常落在了他们的家庭照顾者身上。在这项研究中，我们调查了 PLWD 的家庭照顾者，以确定他们使用不同疼痛评估元素的频率。我们还确定了家庭照顾者的特征（照顾自我效能感、关系持续时间和类型、情绪、教育水平和健康素养）与其使用疼痛评估元素之间的相关性。参与者报告了经常使用许多疼痛评估元素。在获得喘息和询问他人注意到的行为变化方面，照顾自我效能感与观察疼痛行为（rho=0.49，p<.001）、询问他人注意到的行为变化（rho=0.54，p<.001）和重新检查（rho=0.56，p<.001）等多个疼痛评估元素之间存在显著相关性（rho=.0.41，p=.007）；对于应对破坏性的患者行为也存在显著相关性。需要继续努力描述 PLWD 的家庭照顾者进行的疼痛评估。
