Pain-Associated Clusters Among Nursing Home Residents and Older Adults Receiving Home Care in Germany

Autor: Arlett Wenzel, Juliana Schneider, Ronny Kuhnert, Andrea Budnick, Reinhold Kreutz, Dagmar Dräger, Mimi Tse
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pain and Symptom Management. 60:48-59
ISSN: 0885-3924
DOI: 10.1016/j.jpainsymman.2020.01.018
Popis: Context. There are no available data regarding pain-associated clusters among nursing home residents and older adults receiving home care with chronic pain. Objectives To identify and describe pain-associated clusters in nursing home residents and older adults receiving home care with chronic pain, and to explore associations with clusters in both settings. Methods We surveyed 137 nursing home residents and 205 older adults receiving home care. Clusters were identified using hierarchical agglomerative cluster analysis, utilizing Ward’s method with Squared Euclidean Distances in the proximities matrix. The clusters were characterized based on socio-demographic and clinical characteristics. Multinomial logistic regression was used to identify variables associated with different clusters. Results In each setting, we identified three clusters: pain-relieved, pain-impaired, and suffering severe pain. In the nursing home study and the home care study, respectively, the participant distributions were 46.72% and 11.71% in the pain-relieved cluster, 22.63% and 33.66% in the pain-impaired cluster, and 30.66% and 54.63% in the severe-pain cluster. Appropriate pain medication was only detected among pain-relieved nursing home residents. Conclusion Overall, differences in pain management exist within the two care settings presented here. There is potential for improvement in both settings. Moreover, there exists a need for clinical interventions aiming at shifting from pain-affected clusters to pain-relieved status.
Databáze: OpenAIRE
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