• Je něco špatně v tomto záznamu ?

Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic

I. Holmerová, SR. Auer, A. Beránková, M. Höfler, P. Ratajczak, M. Šteffl,

. 2018 ; 13 (-) : 2511-2515. [pub] 20181211

Jazyk angličtina Země Nový Zéland

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc19012005

Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment. Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status. Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer's Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents. Results: In all, 68% (95% CI 62-74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25-38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently. Conclusion: This study indicates that treatment effects should be better monitored.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc19012005
003      
CZ-PrNML
005      
20190411100545.0
007      
ta
008      
190405s2018 nz f 000 0|eng||
009      
AR
024    7_
$a 10.2147/CIA.S188601 $2 doi
035    __
$a (PubMed)30587943
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a nz
100    1_
$a Holmerová, Iva $u Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.
245    10
$a Cognitive status and use of analgesics and anxiolytics in residents of nursing homes in the Czech Republic / $c I. Holmerová, SR. Auer, A. Beránková, M. Höfler, P. Ratajczak, M. Šteffl,
520    9_
$a Background: The treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment. Aim: The aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status. Methods: For this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer's Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents. Results: In all, 68% (95% CI 62-74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25-38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently. Conclusion: This study indicates that treatment effects should be better monitored.
650    _2
$a senioři $7 D000368
650    _2
$a senioři nad 80 let $7 D000369
650    _2
$a analgetika $x terapeutické užití $7 D000700
650    _2
$a anxiolytika $x terapeutické užití $7 D014151
650    _2
$a úzkost $x komplikace $x farmakoterapie $7 D001007
650    _2
$a kognitivní dysfunkce $x komplikace $7 D060825
650    _2
$a průřezové studie $7 D003430
650    _2
$a demence $x komplikace $7 D003704
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a domovy pro seniory $x normy $7 D006707
650    _2
$a lidé $7 D006801
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a pečovatelské domovy $x normy $7 D009735
650    _2
$a bolest $x komplikace $x farmakoterapie $7 D010146
650    _2
$a měření bolesti $7 D010147
650    12
$a kvalita zdravotní péče $7 D011787
650    _2
$a průzkumy a dotazníky $7 D011795
651    _2
$a Česká republika $7 D018153
655    _2
$a časopisecké články $7 D016428
700    1_
$a Auer, Stefanie R $u Danube University Krems, 3500 Krems, Austria. MAS Alzheimerhilfe, 4820 Bad Ischl, Austria.
700    1_
$a Beránková, Anna $u Centre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.
700    1_
$a Höfler, Margit $u Danube University Krems, 3500 Krems, Austria.
700    1_
$a Ratajczak, Paulina $u Danube University Krems, 3500 Krems, Austria.
700    1_
$a Šteffl, Michal $u Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic, steffl@ftvs.cuni.cz.
773    0_
$w MED00173333 $t Clinical interventions in aging $x 1178-1998 $g Roč. 13, č. - (2018), s. 2511-2515
856    41
$u https://pubmed.ncbi.nlm.nih.gov/30587943 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20190405 $b ABA008
991    __
$a 20190411100603 $b ABA008
999    __
$a ok $b bmc $g 1391315 $s 1050310
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2018 $b 13 $c - $d 2511-2515 $e 20181211 $i 1178-1998 $m Clinical interventions in aging $n Clin Interv Aging $x MED00173333
LZP    __
$a Pubmed-20190405

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...