Pain and psychological of older persons living in nursing an.docx
1. Pain and psychological well-being of older persons living in nursing
homes: an exploratory study in planning patient-centred intervention.
Pain and psychological well-being of older persons living in nursing homes: an exploratory
study in planning patient-centred intervention.Authors:Tse, Mimi; Leung, Rincy; Ho,
SukiAffiliation:Mimi Tse PhD RN Assistant Professor School of Nursing, The Hong Kong
Polytechnic University, Kowloon, Hong KongRincy Leung BSN RN Registered Nurse
Department of Health, Hong KongSuki Ho BSN RN Clinical Instructor School of Nursing, The
Hong Kong Polytechnic University, Kowloon, Hong KongSource:Journal of Advanced
Nursing (J ADV NURS), 2012 Feb; 68 (2): 312-21. (47 ref)Publication Type:journal article –
pictorial, research, tables/chartsLanguage:EnglishMajor Subjects:Gerontologic CareLong
Term CareNursing Home Patients —Psychosocial Factors —In Old AgePain —Therapy —In
Old AgePatient Centered CarePsychological Well-Being —In Old AgeMinor
Subjects:Activities of Daily Living; Aged; Aged, 80 and Over; Analgesics —Therapeutic Use;
Clinical Assessment Tools; Coefficient Alpha; Convenience Sample; Cross Sectional Studies;
Data Analysis Software; Depression; Descriptive Statistics; Educational Status; Female;
Funding Source; Geriatric Assessment; Geriatric Depression Scale; Happiness; Health Status;
Hong Kong; Human; Inpatients; Internal Consistency; Interviews; Loneliness; Male; Mann-
Whitney U Test; Marital Status; Middle Age; Nursing Homes; P-Value; Pain Measurement;
Personal Satisfaction; Psychological Tests; Quantitative Studies; Revised UCLA Loneliness
Scale; Scales; Spearman’ s Rank Correlation Coefficient; Summated Rating Scaling; Test-
Retest ReliabilityAbstract:tse m., leung r. & ho s. (2012) Pain and psychological well-being
of older persons living in nursing homes: an exploratory study in planning patient-centred
intervention. Journal of Advanced Nursing 68(2), 312-321. Abstract Aim. This article is a
report on a study to examine the pain situation, the use of oral analgesics and non-
pharmacological strategies and the psychological well-being of older patients living in
nursing homes; the relationships between pain and psychological well-being were also
explored. Background. Pain is common among older adults world-wide, and tends to be
under-treated. Indeed, the high prevalence of pain may further hinder the fulfilment of
psychological needs in a Maslow hierarchy of needs model. Method. It was a quantitative
cross-sectional study; older adults from six nursing homes were invited to join the study in
2007-2009, with a response rate of 100%. Pain was measured using the Geriatric Pain
Assessment, happiness using the Subjective Happiness Scale, life satisfaction using the Life
2. Satisfaction Index – A Form, loneliness using the Revised UCLA Loneliness Scale and
depression was measured using the Geriatric Depression Scale. Results. A convenience
sample of 302 older patients (213 females and 89 males aged from 60 to 101, mean age of
84·99) joined the study. The majority of them had experienced pain in the previous 3
months, with a pain intensity of 4·51 on a 10-point scale. Pain sites were mainly the knee,
back, shoulder and musculoskeletal areas. Only 50% of them took oral analgesics, and 70%
used non-pharmacological measures for pain relief. The pain group reported significantly
more loneliness and depression when compared with their no-pain counterparts.
Conclusions. As the number of older patients increases, so does the need for alternative
accommodation; thus, pain management education is urgently needed for staff and nursing
home residents.Journal Subset:Core Nursing; Europe; Nursing; Peer Reviewed; UK &
IrelandSpecial Interest:Advanced Nursing Practice; Gerontologic Care; Pain and Pain
Management; Psychiatry/PsychologyInstrumentation:Geriatric Depression Scale (GDS)
[Chinese]Subjective Happiness ScaleGeriatric Pain AssessmentLife Satisfaction Index ¿ A
Form [Chinese]Revised UCLA Loneliness Scale [Chinese]ISSN:0309-2402MEDLINE
Info:PMID: 21679226 NLM UID: 7609811Grant Information:CADENZA: A Jockey Club
Initiative for Seniors, The Hong Kong Jockey Club Charities Trust.Entry
Date:20120127Revision Date:20150605DOI:http://dx.doi.org/10.1111/j.1365-
2648.2011.05738.x
![Satisfaction Index – A Form, loneliness using the Revised UCLA Loneliness Scale and
depression was measured using the Geriatric Depression Scale. Results. A convenience
sample of 302 older patients (213 females and 89 males aged from 60 to 101, mean age of
84·99) joined the study. The majority of them had experienced pain in the previous 3
months, with a pain intensity of 4·51 on a 10-point scale. Pain sites were mainly the knee,
back, shoulder and musculoskeletal areas. Only 50% of them took oral analgesics, and 70%
used non-pharmacological measures for pain relief. The pain group reported significantly
more loneliness and depression when compared with their no-pain counterparts.
Conclusions. As the number of older patients increases, so does the need for alternative
accommodation; thus, pain management education is urgently needed for staff and nursing
home residents.Journal Subset:Core Nursing; Europe; Nursing; Peer Reviewed; UK &
IrelandSpecial Interest:Advanced Nursing Practice; Gerontologic Care; Pain and Pain
Management; Psychiatry/PsychologyInstrumentation:Geriatric Depression Scale (GDS)
[Chinese]Subjective Happiness ScaleGeriatric Pain AssessmentLife Satisfaction Index ¿ A
Form [Chinese]Revised UCLA Loneliness Scale [Chinese]ISSN:0309-2402MEDLINE
Info:PMID: 21679226 NLM UID: 7609811Grant Information:CADENZA: A Jockey Club
Initiative for Seniors, The Hong Kong Jockey Club Charities Trust.Entry
Date:20120127Revision Date:20150605DOI:http://dx.doi.org/10.1111/j.1365-
2648.2011.05738.x](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)