回顾痴呆症患者疼痛评估和管理决策过程：系统综述。

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2024-11-14 DOI:10.1016/j.gerinurse.2024.10.047

Lihui PU , Madushika KODAGODA GAMAGE , Na LI , Matthew BARTON , Marlies FEENSTRA , Michael TODOROVIC , Wendy MOYLE

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引用次数: 0

摘要

目的：从痴呆症患者、正式和非正式照护者的角度和经验出发，了解痴呆症患者疼痛评估和管理决策过程中的步骤：方法：进行了系统性回顾。使用 "痴呆症"、"认知障碍"、"疼痛"、"疼痛评估"、"疼痛管理"、"决策"、"决策支持 "和 "决策 "的同义词和派生词检索了 7 个英文数据库，包括 PubMed、心理学信息数据库、Cochrane Library、Scopus、Cumulative Index of Nursing and Allied Health Literature、Web of Science 和 ProQuest：结果：28 项研究符合资格标准。痴呆症患者的疼痛评估和管理是一个复杂、连续和协作的过程，由不同的人根据对痴呆症患者的了解在一段时间内共同完成，但具有很大的不确定性。疼痛评估涉及一定程度的猜测，而疼痛管理则是一个反复试验的过程：结论：需要更加务实的方法来克服各种挑战，包括不确定性和决策冲突。

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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Reviewing the landscape of the decision-making process for pain assessment and management for people living with dementia: A systematic review

Aim

To understand the steps in the decision-making process regarding pain assessment and management for people living with dementia from the perspectives and experiences of people with dementia, formal and informal carers.

Methods

A systematic review was conducted. Seven English databases were searched, including PubMed, Psychological Information Database, Cochrane Library, Scopus, Cumulative Index of Nursing and Allied Health Literature, Web of Science, and ProQuest, using synonyms and derivatives for “dementia”, “cognitive impairment”, “pain”, “pain assessment”, “pain management”, “decision”, “decision support”, and “decision-making”.

Results

Twenty-eight studies fulfilled the eligibility criteria. Pain assessment and management in dementia are complex, successive, and collaborative processes carried out by different individuals over a period based on one's understanding of the person with dementia but with high uncertainty. Pain assessment involves a certain degree of guesswork, while pain management is a trial-and-error process.

Conclusion

More pragmatic approaches are needed to overcome challenges, including uncertainty and decisional conflicts.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.