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Do Nursing Home Residents With Dementia Receive Pain Interventions?
American Journal of Alzheimer's Disease and other Dementias ( IF 2.7 ) Pub Date : 2019-05-01 , DOI: 10.1177/1533317519840506
Taeko Nakashima 1, 2 , Yuchi Young 1 , Wan-Hsiang Hsu 3
Affiliation  

This study compares pain interventions received by nursing home residents with and without dementia. Secondary data analyses of cross-sectional data from 50,673 nursing home residents in New York State were collected by the Minimum Data Set 3.0. Frequency distributions and bivariate analyses with χ2 tests were used to organize and summarize the data. Logistic regression analyses were performed to quantify the relationship between dementia and pain interventions. Our results show that residents with dementia had significantly fewer pain assessments and less reported pain presence than their counterparts. After adjusting for covariates, the results indicate that residents with dementia were significantly less likely to receive pro re nata and nonmedication pain intervention. However, there were no significant differences in scheduled pain medication between the 2 groups. To address the gap, we need more research to design a pain assessment tool that can differentiate severity of pain so that appropriate interventions can be applied.

中文翻译:


患有痴呆症的疗养院居民是否接受疼痛干预?



这项研究比较了患有和不患有痴呆症的疗养院居民接受的疼痛干预措施。通过最小数据集 3.0 对纽约州 50,673 名疗养院居民的横截面数据进行二次数据分析。使用频率分布和 χ2 检验的双变量分析来组织和总结数据。进行逻辑回归分析以量化痴呆与疼痛干预之间的关系。我们的结果表明,与同龄人相比,患有痴呆症的居民的疼痛评估和报告的疼痛明显较少。调整协变量后,结果表明患有痴呆症的居民接受临产和非药物疼痛干预的可能性显着降低。然而,两组之间预定的止痛药物没有显着差异。为了弥补这一差距,我们需要更多的研究来设计一种疼痛评估工具,可以区分疼痛的严重程度,以便采取适当的干预措施。
更新日期:2019-11-01
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