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首页> 外文期刊>Dementia and Geriatric Cognitive Disorders Extra >Responding to Varying Levels of Certainty about Pain in People with Dementia after Initial Pain Assessment
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Responding to Varying Levels of Certainty about Pain in People with Dementia after Initial Pain Assessment

机译：初步疼痛评估后对痴呆症患者疼痛确定性水平的反应

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Introduction: Pain is still inadequately treated in people with dementia (PWD) due to the complexity of assessing it. Pain assessment in PWD is still challenging because of patient-related or nurse-related factors. The patient-related factors have been studied extensively. However, the nurse-related factors, e.g., nurses’ certainty regarding suspected pain in PWD, have been given little attention by researchers. Purpose: This study aims to investigate how the degree of nurses’ certainty is compromised after pain assessment and how this affects levels of pain and agitation in PWD. Method: A descriptive, correlational design was used, and a convenience sample of 104 nursing home residents with dementia were recruited. Results: This study found that nurses’ certainty after the pain assessment mediates the relationship between the type of pain assessment and patient outcomes when the nurses had a high initial certainty. When nurses had a low initial certainty, their certainty after the assessment and the type of assessment predicted the levels of pain and agitation in PWD. Conclusion: Understanding how nurses’ certainty can be compromising after pain assessment and how this relates to pain management in PWD is crucial.
机译：简介：由于痴呆症（PWD）评估的复杂性，其疼痛仍未得到充分治疗。由于患者相关或护士相关因素，PWD中的疼痛评估仍然具有挑战性。与患者有关的因素已被广泛研究。但是，研究人员很少关注与护士相关的因素，例如，护士对PWD疑似疼痛的确定性。目的：本研究旨在调查评估疼痛后如何损害护士的确定性程度，以及这如何影响PWD的疼痛和躁动程度。方法：采用描述性，相关性设计，并收集了104位患有痴呆症的养老院居民的便利样本。结果：本研究发现，当护士具有较高的初始确定性时，疼痛评估后的护士确定性会介导疼痛评估类型与患者预后之间的关系。当护士的初始确定性较低时，他们在评估后的确定性和评估类型可预测PWD的疼痛和躁动程度。结论：了解疼痛评估后如何损害护士的确定性以及这与PWD的疼痛管理有何关系至关重要。

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