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Non-pharmacological interventions to reduce pain in dementia: a quasi-experimental study

Abstract: This study evaluated a non-pharmacological intervention nursing protocol for pain control and assessment of its evolution in a cohort of patients with moderate-to-severe dementia residing in three long-term care facilities in a metropolitan area in Spain. The study was a quasi-experimental pre- and post-exploratory intervention. The presence of pain was evaluated before and after the interventions of nursing protocol for 7 days, carried out by nurses. 157 residents of three centers participated (mean age 81.8 years, 58.1% were women, 83.2% had severe or moderately severe dementia and 65.2%) had regularly scheduled analgesic treatment. At baseline evaluation, the prevalence of pain, assessed with the PAINAD scale was 43.9% and this increased to 73.5% when pain was measured during bathing. The implementation of the nursing protocol of non-pharmacological interventions produced a decrease in pain of 11% (p = 0.0001). Multivariate Ancova analysis demonstrated that non-pharmacological interventions were effective independently of other factors as pressure sores or gender. The implementation of non-pharmacological interventions in social health care centers can produce a decrease in pain for those with dementia.

 Fuente: Applied Nursing Research, Volume 63, February 2022, 151546

Editorial: Elsevier

 Fecha de publicación: 01/02/2022

Nº de páginas: 7

Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.apnr.2021.151546

ISSN: 0897-1897,1532-8201

Url de la publicación: https://doi.org/10.1016/j.apnr.2021.151546

Autores/as

GONZÁLEZ VACA, JULIA

GARCÍA HERNÁNDEZ, MISERICORDIA

MELENDO AZUELA, EVA M.

TORTOSA I MORENO, AVELINA