以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (5): 32-37.doi: 10.16460/j.issn1008-9969.2021.05.032

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Best Evidence Summary for Assessment and Management of Pain in Elderly Patients with Dementia

ZHU Wei-wei1a, XU Yang-zi1a, HUO Wan-jun1b, CHEN Ci-yu1c, LI Yuan-tian1c, LING Dong-lan2   

  1. 1a. Dept. of Nursing Administration; 1b. Dept. of Intensive Care Unit; 1c. Dept. of Neurology, the First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, China;
    2. Dept. of Nursing Administration, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China
  • Received:2020-11-29 Online:2021-03-10 Published:2021-04-08

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Abstract: Objective To summarize the best evidence of pain assessment and management in elderly patients with dementia, and provide reference for improving the quality of pain care for elderly patients with dementia. Methods The PICO was used to construct evidence-based nursing problems.According to the “6S” evidence pyramid model, we searched relevant literature published in UpToDate, BMJ Best Practice, JBI, NICE, RNAO, CINAHL,CBM, CNKI and Wanfang Data from January 1, 2010 to February 29, 2020. Two qualified researchers with master degree independently evaluated the quality of literature by using different appraisal tools. Then the evidence was summarized and integrated from eligible studies. Results Twelve articles were selected, including 2 guidelines, 3 evidence summaries, 5 systematic reviews and 2 randomized controlled trials. A total of 55 pieces of evidence on the evaluation and management in elderly patients with dementia were extracted and finally integrated into 26 pieces of best evidence and 6 dimensions: timing and scales of pain assessment, methods of pain assessment, intervention measures, pain management, training and education and organization guarantee. Conclusion Great importance should be attached to pain assessment for elderly dementia patients. Suitable pain assessment tools and methods, targeted intervention measures, pain-related training for medical staff and specific clinical situation and current medical environment are conducive to conducting individualized pain management for elderly dementia patients.

Key words: dementia, pain, assessment, management, evidence-based nursing

CLC Number: 

  • R473.74
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