Pain Management in Nursing Home Residents: Results from the INCUR Study.

V Nunziata, M Proietti, E Saporiti, L Calcaterra, Y Rolland, B Vellas, M Cesari
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引用次数: 2

Abstract

Objectives: Pain is very common among older persons living in nursing home, affecting 45% to 80% of residents, interfering with daily activities and quality of life. Aims of the study are: 1) to measure the analgesics non-prescription in nursing home residents who present pain symptoms; 2) to identify the main determinants of analgesics non-prescription.

Design: Retrospective cross-sectional analysis.

Setting: Data from an observational study ('Incidence of pNeumonia and related ConseqUences in nursing home Residents' [INCUR] study).

Participants: 800 older persons living in 13 French nursing homes. Measurments: Pain symptoms were definied by one of the following criteria: i) Presence of pain affecting the individual's function in the Activities of Daily Living; ii) Presence of daily pain, and/or; iii) Severe pain measured with a visual analogue scale.

Results: Among the patients originally included in the study, 288 (36%) reported pain symptomatology (mean age 86.9 [SD 7.2] years, 220 (76%) participants women). Amongst these, 138 (47.9%) were treated with non-opioid analgesic drugs, 52 (18.1%) with opioids, and 98 (34%) did not receive any analgesic prescription. An adjusted logistic regression analysis found that the strongest determinant of analgesics non-prescription was the number of concomitantly prescribed drugs (p<0.001). Age, education, and frailty were not associated with prescription of analgesic drugs.

Conclusions: Pain undertreatment is very common among older persons living in nursing homes. The number of prescribed medications represents the most relevant risk factor for the analgesics non-prescription. Our findings document the importance of reviewing prescriptions in nursing home residents.

疗养院居民的疼痛管理:招致研究的结果。
目的:疼痛在养老院的老年人中非常普遍,影响了45%至80%的居民,干扰了日常活动和生活质量。本研究的目的是:1)测量出现疼痛症状的养老院居民非处方镇痛药的使用情况;2)确定镇痛药非处方性的主要决定因素。设计:回顾性横断面分析。背景:数据来自一项观察性研究(“养老院居民肺炎发病率及相关后果”[招致]研究)。参与者:住在13家法国养老院的800名老年人。测量方法:疼痛症状由以下标准之一定义:i)存在影响个人日常生活活动功能的疼痛;ii)每日出现疼痛,和/或;iii)用视觉模拟量表测量剧烈疼痛。结果:在最初纳入研究的患者中,288例(36%)报告了疼痛症状(平均年龄86.9 [SD 7.2]岁,220例(76%)参与者为女性)。其中,138例(47.9%)使用非阿片类镇痛药物,52例(18.1%)使用阿片类镇痛药物,98例(34%)未使用任何镇痛处方。经调整后的logistic回归分析发现,镇痛药非处方性的最强决定因素是伴随处方药物的数量(结论:在养老院生活的老年人中,疼痛治疗不足的情况非常普遍。处方药物的数量代表了非处方镇痛药最相关的风险因素。我们的研究结果证明了在养老院居民中审查处方的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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