Introduction: Pain is still under-recognized and undertreated among intensive care unit (ICU) patients, such as those being intubated or with dementia, cognitive impairments, or communication deficits due to inability to self-report. This study aimed to describe nurses’ pain assessment practices for cognitively intact and impaired older adult ICU patients. Methods: A descriptive correlational study of a convenience sample of 200 registered nurses was conducted in private, public, and university-affiliated hospitals in Irbid, Jordan. Descriptive statistics, such as mean, standard deviation, and frequency, were used to analyze the study data. Results: Statistically significant differences were found in the proportion of nurses who assessed and documented pain every 1–4 h in cognitively intact patients than those with cognitive impairment (n = 67, 63.21% vs. n = 39, 36.79%), p = 0.002, compared to the proportion of nurses who never assessed and document pain in cognitively impaired patients than those without cognitive impairment (n = 38, 76.0% vs. n = 12, 24%), p #x3c; 0.001. Discussion/Conclusion: Our study results showed that the majority of participant nurses felt that the use of pain assessment tools for cognitively intact and impaired older adult ICU patients to self-report is somewhat not at all important. This study also reported that nurses perceived themselves as the individuals who accurately rate the pain in cognitively intact patients, followed by the patients themselves.
Dement Geriatr Cogn Disord Extra 2022;12:115–121

中文翻译：

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护士对重症监护病房认知完整和受损老年人的疼痛评估实践

简介：在重症监护病房 (ICU) 患者中，疼痛仍未得到充分认识和治疗，例如插管或患有痴呆症、认知障碍或由于无法自我报告而导致沟通障碍的患者。本研究旨在描述护士对认知完整和受损的老年 ICU 患者的疼痛评估实践。方法：在约旦伊尔比德的私立、公立和大学附属医院对 200 名注册护士的便利样本进行了描述性相关研究。描述性统计数据，例如平均值、标准差和频率，用于分析研究数据。结果：在认知完整患者中每 1-4 小时评估和记录疼痛的护士比例与认知障碍患者的比例存在统计学显着差异（n = 67, 63.21% vs. n = 39, 36.79%），p = 0.002，与从未评估和记录认知障碍患者疼痛的护士比例与没有认知障碍的护士相比（n = 38, 76.0% vs. n = 12, 24%），p #x3c；0.001。讨论/结论：我们的研究结果表明，大多数参与护士认为，使用疼痛评估工具对认知完整和受损的老年 ICU 患者进行自我报告并不重要。该研究还报告说，护士认为自己是准确评估认知完好患者疼痛的人，其次是患者自己。
Dement Geriatr Cogn Disord Extra 2022；12：115–121