末期失智病人的疼痛之評估與處置

10.6666/ClinMed.201804_81(4).0038

吳紋綺；吳彬源

失智(dementia) ； 疼痛(pain)

臨床醫學月刊

81卷4期（2018 / 04 / 27）

220 - 222

繁體中文

疼痛盛行率與年齡息息相關，尤其是慢性疼痛。估計85歲以上的長者約有72%會有疼痛。目前全球有3,500萬失智病人，65歲的長者有5%罹患失智而90歲以上的高齡長者中高達50%長者失智。據此高齡失智長者的疼痛應是非常普遍。 疼痛會引發失智長者的神經精神學上的症狀降低認知功能並減少日常生活的執行能力。研究顯示在所有影響失智長者的生活品質因素中，疼痛影響生活品質的重要性僅次於神經精神學上的症狀。然而末期失智長者方面因失去認知和語言能力常導致疼痛被低估和治療不足，另一方面由於失智長者因神經精神學上行為的症狀誤導常致疼痛治療不當醫療專業人員有必要能認知失智長者的疼痛。

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