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首页> 外文期刊>European geriatric medicine. >P-126: Characteristics of pharmacological pain treatment in older nursing home residents
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P-126: Characteristics of pharmacological pain treatment in older nursing home residents

机译：P-126：老养老院居民的药理疼痛治疗特征

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Introduction: The aim of the study was to characterize pain treatment among 199 elderly nursing home residents (NHR), aged 65 years and above. Methods: In all studied subjects, cognitive functions were assessed. Based on the results, participants were divided into two groups: group 1—cognitively intact subjects in whom the pain was evaluated based on Numerical Rating Scale (NRS), and group 2—subjects with cognitive impairment, in whom Abbey Pain Scale (APS) was used to assess pain. Thereafter, subjects with inappropriately treated pain were analyzed in detail as group 1a (NRS > 0) and group 2a (Abbey > 2). Results: The prevalence of pain in group 1 and 2 did not differ (65% and 70% respectively). However, inappropriately treated pain occurred more frequently in group 2 (2a = 85% vs 1a = 64%; p < 0.01). This was related to the more frequent occurrence of untreated pain (52% vs 22%; p < 0.001), because the presence of ineffectively treated pain was comparable in both groups (34% vs 42%). Qualitative analysis of pharmacotherapy in subjects with inappropri- ately treated pain demonstrated that acetaminophen in low dosages was the most frequently consumed drug from the first step of the analgesic ladder (16 individuals), from the second step—a combination of tramadol and acetaminophen (8 individuals), and from the third step—buprenorphine was the only drug applied (6 individuals). Key conclusion: Our study showed a high frequency of untreated or ineffectively treated pain in NHR, regardless of the cognitive status of studied subjects. However this phenomenon was particularly frequent in subjects with cognitive impairement.
机译：介绍：该研究的目的是在65岁及以上的199名老年护理家庭居民（NHR）中表征疼痛治疗。方法：在所有研究的受试者中，评估认知功能。根据结果​​，参与者分为两组：基于数值评级规模（NRS）评估疼痛的第1组 - 认知完整的受试者，以及患有认知障碍的第2次受试者，患者疼痛量表（AP）用来评估疼痛。此后，将具有不恰当处理的疼痛的受试者作为第1A组（NRS> 0）和第2a组（Abbey> 2）进行分析。结果：1和2组疼痛的患病率没有差异（分别为65％和70％）。然而，第2组（2a = 85％Vs 1a = 64％; p <0.01），更频繁地发生不恰当的治疗疼痛。这与更频繁发生的未经处理的疼痛（52％vs22％; p <0.001）有关，因为两组中存在无效处理的疼痛（34％与42％）相当。受到难以治疗的疼痛的受试者的药物治疗的定性分析表明，低剂量的乙酰氨基酚是来自镇痛梯（16个体）的第一步中最常消耗的药物，从第二步 - 一种曲马多和乙酰氨基酚的组合（8个体），来自第三步 - 丁丙诺啡是唯一申请的药物（6个体）。关键结论：我们的研究表明，无论研究受试者的认知状态如何，我们的研究表明高频率的未经处理或无效地治疗疼痛。然而，这种现象在认知损害的受试者中特别频繁。

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