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[老年患者的疼痛管理——S3指南“老年疼痛(GeriPAIN)”的方法学论文]

[Pain management in geriatric patients-methods paper for the S3 guideline "GeriPAIN"].

作者信息

Hendlmeier Melina, Fischer Thomas, Drebenstedt Corinna, Fuchs Stephan, Norda Heike, Sirsch Erika

机构信息

Deutsche Schmerzgesellschaft e. V., Alt-Moabit 101b, 10559, Berlin, Deutschland.

Evangelische Hochschule Dresden, Dresden, Deutschland.

出版信息

Schmerz. 2025 Mar 27. doi: 10.1007/s00482-025-00875-9.

DOI:10.1007/s00482-025-00875-9
PMID:40146348
Abstract

Geriatric patients are characterized by an advanced age and typical geriatric multimorbidity. The prevalence of pain increases with age. In geriatric patients in particular, pain is one of the most frequently occurring characteristic complexes. In Germany, a trend has been observed that the prevalence and intensity of pain in older people has continued to increase in recent years. Pain management in this particularly vulnerable group poses major challenges for the patients themselves, their relatives and healthcare professionals. For this reason, the expiring S3 guideline on "Pain assessment in older people in full inpatient care for the elderly" will be taken up, updated and expanded to include pain therapy and extended to outpatient and acute inpatient care.

摘要

老年患者的特点是年龄较大且患有典型的老年多发病。疼痛的患病率随年龄增长而增加。尤其是在老年患者中,疼痛是最常见的特征性症状群之一。在德国,近年来观察到一种趋势,即老年人疼痛的患病率和强度持续上升。对这个特别脆弱的群体进行疼痛管理,给患者本人、其亲属和医护人员带来了重大挑战。因此,即将到期的关于“老年全住院患者疼痛评估”的S3指南将被采纳、更新并扩展至包括疼痛治疗,同时扩展到门诊和急性住院护理。

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本文引用的文献

1
Pain: its prevalence and correlates among the oldest old.疼痛:高龄老人中的流行情况及其相关因素。
Aging Clin Exp Res. 2024 Jan 20;36(1):2. doi: 10.1007/s40520-023-02653-y.
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Prevalence and Factors Associated with Pain in Nursing Home Residents: A Systematic Review of the Literature.养老院居民疼痛的患病率及相关因素:文献系统综述
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Chronic Pain in the Elderly: Mechanisms and Distinctive Features.老年人慢性疼痛:机制与特征。
Biomolecules. 2021 Aug 23;11(8):1256. doi: 10.3390/biom11081256.
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Pain in nursing home residents with dementia and its association to quality of life.养老院痴呆患者的疼痛及其与生活质量的关系。
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[Pain in dementia].[痴呆症中的疼痛]
Schmerz. 2021 Apr;35(2):130-138. doi: 10.1007/s00482-020-00501-w.
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The silent epidemic of chronic pain in older adults.老年人慢性疼痛的无声流行病。
Prog Neuropsychopharmacol Biol Psychiatry. 2019 Jul 13;93:284-290. doi: 10.1016/j.pnpbp.2019.04.006. Epub 2019 Apr 17.