Electronic pain diary: A randomized crossover study
Electronic pain diary: A randomized crossover study
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DOI：
10.1016/j.jpainsymman.2003.12.017
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发表时间：
2004-09-01
影响因子：
4.7
通讯作者：
Sabatowski, R
中科院分区：
文献类型：
--
作者：
Gaertner, J;Elsner, F;Sabatowski, R
电子疼痛日记和掌上电脑在临床研究和应用中变得越来越重要。实践在一项随机交叉试验中，24名患有慢性癌症和非癌症疼痛的患者完成了电子版和纸质版的疼痛测试。基于最小记录系统（MIDOS）的日记，用于疼痛和症状评估。这包括每日评估疼痛的11点数字评分量表和每周记录的简短的生活质量问卷。在本研究基线期观察到的52例患者中，28例可以入组，仅24例患者完成。两个日记版本其他患者在身体或智力上无法使用掌上电脑或不愿意参与本研究。在总共四周后，患者对电子掌上电脑版本的满意度明显更高，尽管大量患者缺乏使用计算机的经验。两个版本之间存在明显差异。电子数据中的缺失值数量较多，患者倾向于回顾性地在纸质版本中捏造信息。在评估记录的疼痛和症状强度方面，电子和纸质日记之间无显著差异。电子日记的使用频率更高，患者表示其使用支持更常规的药物治疗。我们的结论是，使用电子疼痛日记是一种有效和可行的方法来记录患者的疼痛感知，虽然有些患者可能无法操作这样的日记版本。电子掌上疼痛日记提供了高度的患者满意度，并可以简化临床研究和实践的数据收集。疼痛症状管理杂志2004;28：259-267. (C)2004年美国癌症疼痛缓解委员会。爱思唯尔公司出版All rights reserved.
Electronic pain diaries and palm-lop computers have become increasingly important in clinical research and. practice. In a randomized crossover trial, 24 patients suffering from chronic cancer and non-cancer pain completed both the electronic and the paper version of a pain. diary based on the Minimal Documentation System (MIDOS) for pain and symptom assessment. This includes daily assessment of pain on an 11-point numeric rating scale and weekly documentation Of a short quality-of-life questionnaire. Of 52 patients seen during the baseline phase of this study, 28 could be enrolled and only 24 patients completed. both diary versions. The other patients were either physically or intellectually unable to use a palm-top computer or unwilling to Participate in this study. After a total of four weeks, patient satisfaction was remarkably higher for the electronic palm-top version, even though a high number of patients were lacking experience in the use of computers. Obvious differences were observed between the versions. There were higher numbers of missing values in the electronic data, and patients tended to retrospectively fabricate information in the paper version. No significant difference between the electronic and paper diary could be found assessing the documented pain and symptom intensity. The electronic diary was used more frequently and patients said its use supported a more regular-pharmacotherapy. We conclude that the use of electronic pain diaries is a valid and feasible method for documenting patients' pain perception, though some patients may not be able to operate such a diary version. Electronic palm-top pain diaries provide a high degree of patient satisfaction and can ease data collection for clinical research and practice. J Pain Symptom Manage 2004;28:259-267. (C) 2004 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.