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題名:比較兩種疼痛評估工具之結果--以膝骨關節炎老人為例
書刊名:長庚護理
作者:蔡芸芳陳文哲黃慈心徐郭堯葉文凌詹益聖
作者(外文):Tsai, Yun-fangChen, Wen-jerHuang, Tzu-shinHsu, Kuo-yaoYeh, Wen-linChan, Yi-sheng
出版日期:2015
卷期:26:2=90
頁次:頁137-147
主題關鍵詞:骨關節炎老人疼痛疼痛評估OsteoarthritisElderlyPainPain assessment
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:128
背景:骨關節炎為老人常見的疾病,也是老人產生疼痛問題最主要的原因之一。本研究之目的為使用自陳式和疼痛觀察評估工具評估無認知功能障礙之膝骨關節老人的疼痛狀況,並比較其結果的一致性。方法:以方便取樣於北部兩所醫院骨科門診進行收案。老人自陳式疼痛是使用口述疼痛量表來評估,而研究護理師則是使用研究團隊發展的疼痛觀察量表來觀察老人疼痛的表現。結果:大多數的老人自陳正處於輕度到中度的疼痛,但休息時沒有被觀察到任何的臉部表情,僅少數出現身體活動的改變。在活動時,老人最常出現四種疼痛相關的行為,包括額頭有皺紋、輕微的皺眉、活動或步態受限、以及移動的型態改變。比較老人口述疼痛量表和研究護理師疼痛觀察量表的得分發現,僅有移動的型態改變、活動或步態受限、以及輕微的皺眉三個項目的一致性高於50%。結論:本研究結果突顯正確評估老人疼痛的重要性。未來老人和醫療團隊需要一起努力,以改善老人的疼痛評估。
Background: Osteoarthritis (OA) is a common disease among elderly, representing the predominant cause of pain in this population. The purposes of this study were to assess knee OA pain in noncognitively impaired older people by subjective and observed pain-assessment tools and to compare the findings of the two tools. Methods: A convenience sample of elderly was recruited from the orthopaedic outpatient clinics of two hospitals in northern Taiwan. Their self-report pain was measured by the Verbal Rating Scale. Their observed pain was assessed by research nurses using an observed pain-assessment tool. Results: Most participants suffered slight to moderate pain. They did not show any pain-related face expressions but few body movements were observed at rest. During structured activities, participants most commonly showed four pain-related behaviours: wrinkled forehead, slight frown, restricted gait or mobility, and mobility changes. Compared participants' Verbal Rating Scale score and research nurses' observed pain-related behaviours, only mobility changes, restricted gait or mobility, and slight frown achieved the consistency greater than 50%. Conclusions: Our findings highlight the importance of appropriately assessing OA pain in elderly patients. Patients and health care providers shall work together to improve pain assessment for elderly.
期刊論文
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2.Minichiello, V.、Browne, J.、Kendig, H.(2000)。Perceptions and consequences of ageism: Views of older people。Ageing and Society,20(3),253-278。  new window
3.黃麗娟、高啓雯(20101200)。一位接受人工關節置換術病人之護理經驗。長庚護理,21(4)=72,530-538。new window  延伸查詢new window
4.American Geriatric Society Panel on Persistent(2002)。Pain in Older Persons. The management of persistent pain in older persons. AGS clinical practice guidelines。Journal of the American Geriatrics Society,50,205-224。  new window
5.Altman, R. D.、Smith, H. S.(2010)。Opioid therapy for osteoarthritis and chronic low back pain。Postgraduate Medicine,122,87-97。  new window
6.Cervo, F. A.、Raggi, R. P.、Bright-Long, L. E.、Wright, W. K.、Rows, G.、Torres, A.、Komaroff, E.(2007)。Use of the certified nursing assistant pain assessment tool (CPAT) in nursing home residents with dementia。American Journal of Alzheimer's Disease and Other Dementias,22,112-119。  new window
7.Chen, L. M.、Miaskowski, C.、Dodd, M.、Pantilat, S.(2008)。Concepts within the Chinese culture that influence the cancer pain experience。Cancer Nursing,31,103-108。  new window
8.Cohen-Mansfield, J.(2006)。Pain Assessment in Noncommunicative Elderly persons--PAINE。Clinical Journal of Pain,22,569-575。  new window
9.Denny, D. L.、Guido, G. W.(2012)。Undertreatment of pain in older adults: an application of beneficence。Nursing Ethics,19,800-809。  new window
10.Ferrell, B. A.(1991)。Pain management in elderly people。Journal of the American Geriatric Society,39,64-73。  new window
11.Hadjistavropoulos, T.、Craig, K. D.(2002)。A theoretical framework for understanding selfreport and observational measures of pain: a communications model。Behaviour Research and Therapy,40,551-570。  new window
12.Higgins, L. T.、Zheng, M.(2002)。An introduction to Chinese psychology--its historical roots until the present day。Journal of Psychology,136,225-239。  new window
13.Insel, K. C.、Badger, T. A.(2002)。Deciphering the 4D's: Cognitive decline, delirium, depression and dementia-a review。Journal of Advanced Nursing,38,360-368。  new window
14.Lansbury, G.(2000)。Chronic pain management: A qualitative study of elderly person’s preferred coping strategies and barriers to management。Journal of Disability and Rehabilitation,22,2-14。  new window
15.Lefebvre-Chapiro, S.(2001)。The Doloplus 2 scale-evaluating pain in the elderly。European Journal of Palliative Care,8,191-194。  new window
16.Li, L. W.、Conwell, Y.(2010)。Pain and selfinjury ideation in elderly men and women receiving home care。Journal of the American Geriatrics Society,58,2160-2165。  new window
17.Moskovitz, B. L.、Benson, C. J.、Patel, A. A.、Chow, W.、Mody, S. H.、McCarberg, B. H.、Kim, M. S.(2011)。Analgesic treatment for moderate-to-severe acute pain in the United States: patients' perspectives in the Physicians Partnering Against Pain (P3) survey。Journal of Opioid Management,7(4),277-286。  new window
18.Snow, A. L.、Weber, J. B.、O'Malley, K. J.、Cody, M.、Beck, C.、Bruera, E.、Kunik, M. E.(2004)。NOPPAIN: a nursing assistant-administered pain assessment instrument for use in dementia。Dementia and Geriatric Cognitive Disorders,17,240-246。  new window
19.Tsai, Y. F.(2007)。Gender differences in pain and depressive tendency among Chinese elders with knee osteoarthritis。Pain,130(1/2),188-194。  new window
20.Tsai, Y. F.、Wei, S. L.、Lin, Y. P.、Chien, C. C.(2005)。Depressive symptoms, pain experiences and pain management strategies among residents of Taiwanese public elder care homes。Journal of Pain and Symptom Management,30,63-69。  new window
21.Tsai, Y. F.、Tsai, H. H.、Lai, Y. H.、Chu, T. L.(2004)。Pain prevalence, experiences and management strategies among the elderly in Taiwanese nursing homes。Journal of Pain and Symptom Management,28(6),579-584。  new window
22.Yip, Ping-keung、Shyu, Ya-ing、Liu, Shen-ing、Lee, Jane-yi、Chou, Chaw-fang、Chen, Rong-chi(19921200)。An Epidemiological Survey of Dementia among Elderly in an Urban District of Taipei。Acta Neurologica Sinica,1(4),347-354。  new window
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學位論文
1.蔡璧娟(2007)。臺灣社會的老年歧視之研究--以嘉義縣水上鄉民生社區為例(碩士論文)。南華大學,嘉義市。  延伸查詢new window
2.邱琬婷(2010)。阿茲海默氏症患者的疼痛與憂鬱症狀表情之比較(碩士論文)。國立陽明大學。  延伸查詢new window
3.陳怡亨(2009)。長期照護機構認知障礙住民與護士和照顧服務員在疼痛評估之一致性及其影響因子(博士論文)。國立陽明大學。  延伸查詢new window
4.余幸宜(2003)。台北市社區老人慢性疼痛盛行率、疼痛型態及因應策略之探討(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.McCaffery, M.(1968)。Nursing practice theories related to cognition, bodily pain and manenvironmental interactions。Los Angeles, CA:UCLA Students Store。  new window
 
 
 
 
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