护士不确定性在痴呆患者疼痛管理决策过程中的作用。

Q2 Medicine
Pain Research and Treatment Pub Date : 2018-08-01 eCollection Date: 2018-01-01 DOI:10.1155/2018/7281657
Mohammad Rababa
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引用次数: 14

摘要

痴呆症患者(PWD)的疼痛被低估和治疗不足。由于评估不佳、治疗不佳以及与护理决策技能相关的因素,痴呆症患者的疼痛治疗出现了问题。一些理论模型解决了护士的批判性思维和决策技能在疼痛治疗中的作用,如认知连续统理论(CCT)和适应性疼痛管理(APT)。只有疼痛确定性反应(RCP)模型是第一个假设护士不确定性、疼痛评估和患者预后之间关系的模型。Gilmore-Bykovskyi和Bowers开发了RCP,其中包含了不确定性的概念以及它与PWD中未缓解的疼痛问题的关系。RCP模型有可能为痴呆症患者无法缓解的疼痛问题提供更好的理解。它还可以帮助开展一项研究,为经常被忽视和脆弱的人群带来安慰。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of Nurses' Uncertainty in Decision-Making Process of Pain Management in People with Dementia.

Pain in people with dementia (PWD) is underassessed and undertreated. Treatment of pain in people with dementia goes awry because of poor assessment, poor treatment, and factors related to nursing decision-making skills. Several theoretical models addressed the role of nurses' critical thinking and decision-making skills in pain treatment, like the cognitive continuum theory (CCT) and the adaptive pain management (APT). Only the Response to Certainty of Pain (RCP) model was the first model to posit relationships between nurses' uncertainty, pain assessment, and patient outcomes. Gilmore-Bykovskyi and Bowers developed the RCP, which incorporates the concept of uncertainty and how it relates to the problem of unrelieved pain in PWD. The RCP model has the potential to provide good understanding of the problem of unrelieved pain in people with dementia. It also could help to develop a research study that brings comfort to an often neglected and vulnerable population.

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来源期刊
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
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