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失语症患者认知障碍疼痛评估(PAIC15)的用户友好性:一项试点研究。

User-friendliness of the pain assessment in impaired cognition (PAIC15) in persons with aphasia: a pilot study.

作者信息

de Vries Neeltje J, Smaling Hanneke J A, van der Steen Jenny T, Achterberg Wilco P

机构信息

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.

TOPAZ Geriatric Rehabilitation Center Revitel, Leiden, the Netherlands.

出版信息

Future Sci OA. 2025 Dec;11(1):2456440. doi: 10.1080/20565623.2025.2456440. Epub 2025 Jan 27.

DOI:10.1080/20565623.2025.2456440
PMID:39868682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11776862/
Abstract

BACKGROUND

Persons with aphasia have difficulties communicating pain symptoms.

METHODS

Thirteen observers performed multiple observations using the Pain Assessment in Impaired Cognition (PAIC15) scale for persons with aphasia during rest and transfer in persons with aphasia. This pilot study examined the user-friendliness of PAIC15 and preference for type of self-report pain scales with a questionnaire.

RESULTS

The PAIC15 was considered user-friendly for persons with aphasia: items were clear and not difficult to score. When self-report is possible, the combined scale with verbal, visual, and numerical elements is preferred for persons with aphasia.

CONCLUSION

PAIC15 is a helpful instrument to aid clinical judgment and to screen for the presence of pain in persons with aphasia. There were mixed opinions, but most observers preferred to use the combined self-report scale for persons with aphasia.

摘要

背景

失语症患者在表达疼痛症状方面存在困难。

方法

13名观察者使用认知障碍疼痛评估(PAIC15)量表,对失语症患者在休息和转移过程中进行了多次观察。这项初步研究通过问卷调查,考察了PAIC15的用户友好性以及失语症患者对自我报告疼痛量表类型的偏好。

结果

PAIC15被认为对失语症患者来说用户友好:条目清晰,评分不难。当可以进行自我报告时,失语症患者更喜欢包含语言、视觉和数字元素的综合量表。

结论

PAIC15是一种有助于临床判断和筛查失语症患者疼痛情况的工具。存在不同意见,但大多数观察者更喜欢对失语症患者使用综合自我报告量表。

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本文引用的文献

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BMC Neurol. 2024 Sep 5;24(1):319. doi: 10.1186/s12883-024-03824-8.
2
Self-Reported Pain and Pain Observations in People with Korsakoff's Syndrome: A Pilot Study.科尔萨科夫综合征患者的自我报告疼痛及疼痛观察:一项初步研究。
J Clin Med. 2023 Jul 14;12(14):4681. doi: 10.3390/jcm12144681.
3
Measuring Pain in Aphasia: Validity and Reliability of the PACSLAC-D.评估失语症患者的疼痛:PACSLAC-D 的有效性和可靠性。
Pain Manag Nurs. 2023 Aug;24(4):e68-e74. doi: 10.1016/j.pmn.2023.03.010. Epub 2023 Apr 24.
4
Probable Pain on the Pain Assessment in Impaired Cognition (PAIC15) Instrument: Assessing Sensitivity and Specificity of Cut-Offs against Three Standards.认知障碍疼痛评估(PAIC15)工具中的可能疼痛:评估针对三个标准的临界值的敏感性和特异性
Brain Sci. 2021 Jun 29;11(7):869. doi: 10.3390/brainsci11070869.
5
Observational pain assessment in older persons with dementia in four countries: Observer agreement of items and factor structure of the Pain Assessment in Impaired Cognition.四国痴呆老年人观察性疼痛评估:认知障碍疼痛评估项目的观察者间一致性和因子结构。
Eur J Pain. 2020 Feb;24(2):279-296. doi: 10.1002/ejp.1484. Epub 2019 Oct 22.
6
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Eur J Pain. 2020 Jan;24(1):192-208. doi: 10.1002/ejp.1477. Epub 2019 Oct 13.
7
Pain assessment in impaired cognition: observer agreement in a long-term care setting in patients with dementia.认知受损患者的疼痛评估:痴呆患者长期护理环境中的观察者一致性
Pain Manag. 2019 Sep;9(5):461-473. doi: 10.2217/pmt-2019-0025. Epub 2019 Aug 12.
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BMC Geriatr. 2018 Apr 11;18(1):88. doi: 10.1186/s12877-018-0773-8.
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Clin Interv Aging. 2017 Dec 22;13:25-34. doi: 10.2147/CIA.S144651. eCollection 2018.
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