摘要
对老年患者,特别是痴呆症患者的评估不足和治疗不足是老年人常见的问题。这可能部分归因于医疗保健人员和非正式照顾者对于痴呆症的痛苦,评估和管理方面的知识缺陷和消极态度。知识和态度与行为有显着的预测关系,可能影响疼痛评估和管理实践。尽管如此,仍然缺乏对该领域的研究,对于痴呆症护理人员的现有知识水平和态度缺乏明确性。因此,这次审查的目的是:确定痴呆症护理者中存在什么知识缺陷和态度障碍?并确定可用的尺度来衡量这些尺度。在以下电子数据库中进行搜索:Academic Search Premier; CINAHL;教育研究完成;人文国际期刊;心理学与行为科学系;心灵信息精神病教师参考中心;和MEDLINE。共有13篇文章符合纳入标准。确定了一些知识缺陷和消极态度,特别是在痴呆症中使用自我报告和疼痛评估工具以及阿片类药物的安全性。在某些领域,如非麻醉性止痛药物和行为疼痛指标等方面都有了理解和积极的态度。在确定的4个量表中,发现内部一致性和内容有效性的积极结果,但是需要进一步细化和测试。结论态度和知识壁垒存在,应该考虑到他们对实践行为的影响,但是,有进步可以建立的意愿和知识基础。
关键词: 态度,障碍,痴呆,教育,知识,疼痛评估,疼痛管理,量表。
Current Alzheimer Research
Title:Attitudinal & Knowledge Barriers Towards Effective Pain Assessment & Management in Dementia: A Narrative Synthesis
Volume: 14 Issue: 5
关键词: 态度,障碍,痴呆,教育,知识,疼痛评估,疼痛管理,量表。
摘要: Under-assessment and inadequate treatment of pain is a common problem for older adults, particularly those with dementia. This may be in part attributed to knowledge deficits and negative attitudes among healthcare staff and informal caregivers towards pain, its assessment and its management in dementia. Knowledge and attitudes have a significant predictive relationship with behavior, potentially impacting pain assessment and management practices. Despite this there remains a paucity of research in the area and a lack of clarity about existing knowledge levels and attitudes among dementia caregivers. Therefore, the aims of this review were to: identify what knowledge deficits and attitudinal barriers exist amongst dementia caregivers; and identify the scales available to measure these. A search was carried out in the following electronic databases: Academic Search Premier; CINAHL; Education Research Complete; Humanities International Journals; Psychology and Behavioral Sciences Collection; PsychINFO; PsychArticles; Teacher Reference Center; and MEDLINE. A total of 13 articles met the inclusion criteria. A number of knowledge deficits and negative attitudes were identified, particularly in the use self-reports and pain assessment tools in dementia, and the safety of opioids. Understanding and positive attitudes were demonstrated in some areas, such as non-narcotic pain medications and identifying behavioral pain indicators. Of the 4 scales identified, positive results were found for internal consistency and content validity, however further refinement and testing is necessary. It was concluded attitudinal and knowledge barriers exist which should be addressed given their influence over practice behavior, however, there is a willingness and knowledge base from which progress can build.
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Cite this article as:
Attitudinal & Knowledge Barriers Towards Effective Pain Assessment & Management in Dementia: A Narrative Synthesis, Current Alzheimer Research 2017; 14 (5) . https://dx.doi.org/10.2174/1567205013666160602233118
DOI https://dx.doi.org/10.2174/1567205013666160602233118 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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