The Potential Role for Smartphones Among Older Adults with Chronic Noncancer Pain: A Qualitative Study.
The Potential Role for Smartphones Among Older Adults with Chronic Noncancer Pain: A Qualitative Study.
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智能手机对患有慢性非癌性疼痛的老年人的潜在作用：一项定性研究。
DOI：
10.1093/pm/pnw284
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Reid,MCarrington
中科院分区：
文献类型：
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作者：
Richardson,JoshuaE;Lee,JenniferI;Nirenberg,Anita;Reid,MCarrington
目的确定智能手机在支持患有慢性非癌性疼痛（CNCP）的老年人中可能发挥的作用，以改善这一不断扩大的人群的疼痛管理。设计定性研究。设置纽约市一个为患有CNCP的老年人提供服务的学术附属初级保健实践。受试者13名老年人（年龄65-85岁）慢性阿片类药物治疗的CNCP患者，即连续使用阿片类药物至少6个月。两名研究人员使用描述性分析来分析转录的数据。护士和医生研究人员反复批评和批准的结果。ResultsParticipants提供的意见，智能手机可能对药物管理和与他们的供应商的沟通的影响。智能手机可以通过支持与医疗保健系统的互动（例如更有效的日程安排和与当地药房协调处方实践）使老年人受益。与会者表示，由于CNCP的隔离困难，并假设智能手机可以提供一种社会支持的手段。具体而言，智能手机应支持老年人的需求，以有效地与个人联系人和护理人员以及医疗保健提供者沟通疼痛体验。基于这些结果，我们提供的建议，可以告知未来的智能手机干预老年人与CNCP.ConclusionSmartphones，专注于支持药物管理，加强与供应商的沟通，并促进社交网络内的连通性，以减少孤立的感觉可能有助于改善老年人CNCP的结果。
ObjectiveTo determine the role that smartphones may play in supporting older adults with chronic noncancer pain (CNCP) in order to improve pain management in this expanding population.DesignQualitative study.SettingOne academically affiliated primary care practice serving older adults with CNCP in New York City.SubjectsThirteen older adults (age 65–85 years) with CNCP on chronic opioid therapy, that is, continuous use of opioids for at least six months.MethodsOne researcher conducted one-on-one telephone interviews with participants, and two researchers analyzed the transcribed data using descriptive analysis. A nurse and a physician researcher iteratively critiqued and approved the results.ResultsParticipants provided opinions as to the effects that smartphones may have on medication management and communications with their providers. Smartphones can benefit older adults by supporting interactions with the health care system such as more effective scheduling and coordinating prescribing practices with local pharmacies. Participants expressed difficulties with isolation due to CNCP and posited that smartphones could provide a means for social support. Specifically, smartphones should support older adult needs to effectively communicate pain experiences with personal contacts and caregivers, as well as health care providers. Based on these results, we provide suggestions that can inform future smartphone interventions for older adults with CNCP.ConclusionSmartphones that focus on supporting medication management, enhancing communication with providers, and facilitating connectedness within social networks to reduce feelings of isolation may help to improve CNCP outcomes in older adults.