抽象性

BACKGROUND: There is little information available on the rates of pain in institutionalized elderly persons, and this is particularly true for Canada.OBJECTIVES: To provide information about the prevalence and clinical correlates of pain in a sample of Canadian nursing homes, to determine whether residents with cognitive impairment experience lower rates of health conditions associated with pain (eg, arthritis) than residents without cognitive impairment and to determine whether the associations (ie, odds ratios) for pain with such health conditions vary as a function of cognitive status.DESIGN: The study is based on a secondary analysis of data collected with the minimum data set (MDS 2.0).SETTING AND PARTICIPANTS: The study comprised 3195 nursing home residents in Ontario, Manitoba and Saskatchewan.SUBJECTS AND METHODS: All residents were assessed with the MDS 2.0 by trained clinicians (usually nurses).疼痛记录如果发生在评估前7天评估者接受训练查找表面不适信号,如回荡或言语自报评分在可能时获取.Reductss:该样本总体疼痛率为49.7%,23.7%的居民每日经历疼痛有认知缺陷者与无认知缺陷者在可能引起疼痛条件的流行程度和疼痛与这种健康状况关联方面没有差别。发现区域差异,安大略省居民比萨斯喀彻温省及马尼托巴省居民疼痛频率和强度更高。这可能至少部分是由于区域在护理院接收标准上的差异。CONUSY:结果显示,在认知缺陷程度较高的护理院居民中,识别疼痛流行率较低这些结果不支持以下概念,即这与护理院居民痴呆症低发率相联此外,结果不支持认知缺陷居民对疼痛不敏感的观点。本研究强调,需要更全面的工具评估认知缺陷者的痛苦不过,MDS可能是检测这类人群疼痛的有用工具,因为它不完全依赖自报