老年癌症患者疼痛评估工具的研究进展
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摘要
本文检索Web of Science、PubMed、CNKI、维普、万方数据库,阅读文献内容,寻找现有的适用于老年癌症患者的疼痛评估工具。现有老年癌症患者疼痛评估量表分为自我描述性评估量表5种,对于没有认知障碍或轻、中度认知障碍的老年人优选VDS评估;客观疼痛观察量表6种,其中有4种被推荐优先使用,但应用尚不广泛。老年疼痛患者的客观评估尚未得到重视,国外量表在国内应用不广泛,应加强重视评估老年人癌症患者的疼痛状况。
This article searches the databases of Web of Science, PubMed, CNKI, Viper,Wanfang debases, literature is looked up, to look for the existing pain assessment tools for elderly cancer patients. The existing pain assessment scales for elderly cancer patients are divided into 5 self-descriptive assessment scales. VDS assessment is preferred for the elderly with severe cognitive impairment or mild or moderate cognitive impairment. There are 6 objective pain observation scales, and four scales of which are recommended to be used first, but not widely. Objective evaluation of elderly patients with pain has not been paid much attention. Foreign scales are not widely used in China. Attention should be paid to the pain evaluation of elderly cancer patients.
This article searches the databases of Web of Science, PubMed, CNKI, Viper,Wanfang debases, literature is looked up, to look for the existing pain assessment tools for elderly cancer patients. The existing pain assessment scales for elderly cancer patients are divided into 5 self-descriptive assessment scales. VDS assessment is preferred for the elderly with severe cognitive impairment or mild or moderate cognitive impairment. There are 6 objective pain observation scales, and four scales of which are recommended to be used first, but not widely. Objective evaluation of elderly patients with pain has not been paid much attention. Foreign scales are not widely used in China. Attention should be paid to the pain evaluation of elderly cancer patients.
引文
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[23]Aubin M,Giguere A,Hadjistavropoulos T,et al.The systematic evaluation of instruments designed to assess pain in persons with limited ability to communicate[J].Pain Res Manag,2007,12(3):195-203.
[24]Warden V,Hurley AC,Volicer L.Development and psychometric evaluation of the Pain Assessment in Advanced Dementia(PAINAD)scale[J].J Am Med Dir Assoc,2003,4(1):9-15.
[25]Fry M,Arendts G,Chenoweth L.Emergency nurses′evaluation of observational pain assessment tools for older people with cognitive impairment[J].J Clin Nurs,2017,26(9/10):1281-1290.
[26]彭美慈,锺佩雯,梁颖琴.中文版晚期老年痴呆症疼痛评估量表的初步评价[J].中华护理杂志,2007,42(8):677-680.
[27]段海鸿,张雪红,刘健.中文版晚期老年痴呆症疼痛评估量表在老年精神科护理应用中的信效度研究[J].护理与康复,2013,12(5):407-409.
[28]Lefebvre-Chapiro S.The Doloplus 2 scale devaluating pain in the elderly[J].Eur J Palliat Care,2001,5(8):191-194.
[29]李茶香.护士对老年痴呆患者疼痛的认知现状及相关评估工具的引进[D].广州:南方医科大学,2009:59.
[30]Ando C,Ito Y,Amemiya S,et al.Effectiveness of the Japanese DOLOPLUS-2:a pain assessment scale for patients with moderate-to-severe dementia[J].Psychogeriatrics,2016,16(5):315-322.
[31]李茶香,刘雪琴.中文版Doloplus-2量表用于老年痴呆患者疼痛评估的测试研究[J].护理学报,2009,16(3):11-14.
[32]Simons W,Malabar R.Assessing pain in elderly patients who cannot respond verbally[J].J Adv Nurs,1995,22(4):663-669.
[33]Lints-Martindale AC,Hadjistavropoulos T,Lix LM,et al.A comparative investigation of observational pain assessment tools for older adults with dementia[J].Clin J Pain,2012,28(3):226-237.
[34]Hadjistavropoulos T,Fitzgerald TD,Marchildon GP.Practice guidelines for assessing pain in older persons with dementia residing in long-term care facilities[J].Physiother Can,2011,62(2):104-113.
[35]Abbey J,Piller N,De Bellis A,et al.The Abbey pain scale:a 1-minute numerical indicator for people with end-stage dementia[J].Int J Palliat Nurs,2004,10(1):6-13.
[36]Hurley AC,Volicer BJ,Hanrahan PA,et al.Assessment of discomfort in advanced Alzheimer patients[J].Res Nurs Health,1992,15(5):369-377.
[37]李慧莉,姜伟娜,吴翔,等.老年认知障碍患者疼痛评估的研究与护理[J].实用临床医药杂志,2015,19(14):140-141.
[38]郑晓真,俞素琴.认知障碍癌痛患者中疼痛评估方法的应用研究[J].中国现代医生,2016,54(32):133-136.
[2]贾延睿.老年综合功能评估系统(CGA)在老年恶性肿瘤化疗中的应用研究[D].济南:山东大学,2016:61.
[3]Parkin DM,Bray F,Ferlay J,et al.Global cancer statistics[J].CA Cancer J Clin,2005,55(2):74-108.
[4]癌症疼痛诊疗规范(2011年版)[J].中华危重症医学杂志:电子版,2012,5(1):31-38.
[5]李蕾,刘化侠.认知障碍病人疼痛评估工具研究进展[J].护理研究,2009,23(23):2071-2073.
[6]Hadjistavropoulos T,Herr K,Turk DC,et al.An interdisciplinary expert consensus statement on assessment of pain in older persons[J].Clin J Pain,2007,23(l):1-43.
[7]Herr K,Bjoro K,Decker S.Tools for assessment of pain in nonverbal older adults with dementia:a state-of-the-science review[J].J Pain Symptom Manage,2006,31(2):170-192.
[8]赵岩,任洪军,孟威,等.癌痛对癌症患者生活质量的影响研究[J].癌症进展,2018,16(1):117-119.
[9]Lin LY,Wang RH.Abdominal surgery,pain and anxiety:preoperative nursing intervention[J].J Adv Nurs,2005,51(3):252-260.
[10]Pasero C.Challenges in pain assessment[J].J PeriAnesth Nurs,2009,24(1):50-54.
[11]Sehtt J,Huskisson EC.Graphic representation of pain[J]Pain,1976,2(2):175-184.
[12]袁睆,肖水源.疼痛评估工具的临床应用[J].中国心理卫生杂志,2013,27(5):331-334.
[13]Puntillo K,Pasero C,Li D,et al.Evaluation of pain in ICU patients[J].Chest,2009,135(4):1069-1074.
[14]Chien CW,Bagraith KS,Khan A,et al.Comparative responsiveness of verbal and numerical rating scales to measure pain intensity in patients with chronic pain[J].JPain,2013,14(12):1653-1662.
[15]黎春华,瓮长水,蒋天裕,等.5种疼痛强度评估量表应用于老年腰痛患者的重测信度[J].中国康复理论与实践,2012,18(7):608-609.
[16]Li L,Herr K,Chen P.Postoperative pain assessment with three intensity scales in Chinese elders[J].J Nurs Scholarsh,2009,41(3):241-249.
[17]Herr K,Spratt KF,Garand L,et al.Evaluation of the Iowa pain thermometer and other selected pain intensity scales in younger and older adult cohorts using controlled clinical pain:a preliminary study[J].Pain Med,2007,8(7):585-600.
[18]Li L,Liu X,Herr K.Postoperative pain intensity assessment:a comparison of four scales in Chinese adults[J]Pain Med,2007,8(3):223-234.
[19]Zwakhalen SM,Hamers JP,Abu-Saad HH,et al.Pain in elderly people with severe dementia:a systematic review of behavioural pain assessment tools[J].BMC Geriatr,2006,6(1):3.
[20]Lukas A,Niederecker T,Gunther I,et al.Self-and proxy report for the assessment of pain in patients with and without cognitive impairment:experiences gained in a geriatric hospital[J].Z Gerontol Geriatr,2013,46(3):214-221.
[21]Herr K,Coyne PJ,Key T,et al.Pain assessment in the nonverbal patient:position statement with clinical practice recommendations[J].Pain Manag Nurs,2006,7(2):44-52.
[22]Herr K,Bursch H,Ersek M,et al.Use of pain-behavioral assessment tools in the nursing home:expert consensus recommendations for practice[J].J Gerontol Nurs,2010,36(3):18-29.
[23]Aubin M,Giguere A,Hadjistavropoulos T,et al.The systematic evaluation of instruments designed to assess pain in persons with limited ability to communicate[J].Pain Res Manag,2007,12(3):195-203.
[24]Warden V,Hurley AC,Volicer L.Development and psychometric evaluation of the Pain Assessment in Advanced Dementia(PAINAD)scale[J].J Am Med Dir Assoc,2003,4(1):9-15.
[25]Fry M,Arendts G,Chenoweth L.Emergency nurses′evaluation of observational pain assessment tools for older people with cognitive impairment[J].J Clin Nurs,2017,26(9/10):1281-1290.
[26]彭美慈,锺佩雯,梁颖琴.中文版晚期老年痴呆症疼痛评估量表的初步评价[J].中华护理杂志,2007,42(8):677-680.
[27]段海鸿,张雪红,刘健.中文版晚期老年痴呆症疼痛评估量表在老年精神科护理应用中的信效度研究[J].护理与康复,2013,12(5):407-409.
[28]Lefebvre-Chapiro S.The Doloplus 2 scale devaluating pain in the elderly[J].Eur J Palliat Care,2001,5(8):191-194.
[29]李茶香.护士对老年痴呆患者疼痛的认知现状及相关评估工具的引进[D].广州:南方医科大学,2009:59.
[30]Ando C,Ito Y,Amemiya S,et al.Effectiveness of the Japanese DOLOPLUS-2:a pain assessment scale for patients with moderate-to-severe dementia[J].Psychogeriatrics,2016,16(5):315-322.
[31]李茶香,刘雪琴.中文版Doloplus-2量表用于老年痴呆患者疼痛评估的测试研究[J].护理学报,2009,16(3):11-14.
[32]Simons W,Malabar R.Assessing pain in elderly patients who cannot respond verbally[J].J Adv Nurs,1995,22(4):663-669.
[33]Lints-Martindale AC,Hadjistavropoulos T,Lix LM,et al.A comparative investigation of observational pain assessment tools for older adults with dementia[J].Clin J Pain,2012,28(3):226-237.
[34]Hadjistavropoulos T,Fitzgerald TD,Marchildon GP.Practice guidelines for assessing pain in older persons with dementia residing in long-term care facilities[J].Physiother Can,2011,62(2):104-113.
[35]Abbey J,Piller N,De Bellis A,et al.The Abbey pain scale:a 1-minute numerical indicator for people with end-stage dementia[J].Int J Palliat Nurs,2004,10(1):6-13.
[36]Hurley AC,Volicer BJ,Hanrahan PA,et al.Assessment of discomfort in advanced Alzheimer patients[J].Res Nurs Health,1992,15(5):369-377.
[37]李慧莉,姜伟娜,吴翔,等.老年认知障碍患者疼痛评估的研究与护理[J].实用临床医药杂志,2015,19(14):140-141.
[38]郑晓真,俞素琴.认知障碍癌痛患者中疼痛评估方法的应用研究[J].中国现代医生,2016,54(32):133-136.