A systematic review of prevalence of pain in nursing home residents with dementia

BMC Geriatrics

Research

Kjerstin Tevik¹  Anne-S. Helvik¹  Sverre Bergh² 

[1] Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway;Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway;Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital Trust, Ottestad, Norway;

关键词: Behavioral assessment;    Care homes;    Daily pain;    End of life;    Long-term care facilities;    Nursing home;    Presence of pain;    Persistent pain;    Residential aged care settings;   

DOI  :  10.1186/s12877-023-04340-z

 received in 2022-06-30, accepted in 2023-09-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe prevalence of dementia in nursing home (NH) residents is high, and pain is a troublesome symptom for them. Several studies since 2010 have focused on pain in NH residents with dementia, but there is a lack of systematic reviews on the prevalence of pain in NH residents with dementia.AimTo systematically review observational studies published from 2010 to 2023 on how pain is assessed and prevalence of pain found in NH residents with dementia.MethodsA systematic search was conducted in the MEDLINE, PubMed, PsycINFO, Embase, CINAHL, AgeLine, and Cochrane databases for studies published from January 2010 to August 2023. Studies were included if they were observational studies with a quantitative design where self-report, staff assessment, and/or chart review were used to define the prevalence of pain in samples or subsamples of NH residents with dementia.ResultsOf 184 studies considered, 25 were included. The studies assessed pain as daily, present, clinically relevant, chronic, intermittent, persistent pain and/or if pain affected quality of life. The prevalence of pain was high in most studies of NH residents with dementia independent of whether pain was reported as presence of pain or clinically relevant pain, but the prevalence varied from 8.6% to 79.6%. This prevalence was quite stable across the NH stay, but higher towards the end of life (up to 80.4%). Study designs and methodologies differed considerably. About half relied on an observational assessment inventory.ConclusionThe number of studies focusing on pain in NH residents with dementia was restricted and methodologies differed considerably. Relatively few studies used an observational assessment inventory. In view of the fact that residents with dementia may have difficulties communicating pain, clinicians should pay attention to pain in these residents, systematically and reliably uncover pain by use of observational inventories, and subsequently treat pain to secure high quality care.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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