Patients' use of digital pens for pain assessment in advanced palliative home healthcare
Patients' use of digital pens for pain assessment in advanced palliative home healthcare
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患者在高级姑息家庭医疗保健中使用数字笔进行疼痛评估
DOI：
10.1016/j.ijmedinf.2007.01.013
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发表时间：
2008
影响因子：
4.9
通讯作者：
B. Fridlund
中科院分区：
文献类型：
--
作者：
L. Lind;D. Karlsson;B. Fridlund
适当的疼痛评估是充分控制疼痛的必要前提。一种方法，以后续的疼痛是让患者使用基于纸张或电子pain dialoges. METHODSA的目的是探索和描述姑息性家庭护理患者的经验，评估他们的疼痛，通过使用疼痛日记连同数字笔和移动的Internet技术。从2002年12月至2003年9月，12名最初评估VAS疼痛≥ 35 mm（VAS 0- 100 mm）的姑息性患者使用了该系统。患者报告了他们的瞬间疼痛强度和每天三次服用额外剂量止痛药的次数。分析数据收集自与患者和配偶的访谈、问卷调查、医疗记录和系统日志。尽管患者病情严重，难以理解技术和系统干预，但患者发现疼痛日记和数字笔易于用于疼痛评估。患者在自己的护理中发挥了更大的作用，并与护理人员的接触得到了改善，从而增加了安全感。医疗记录显示了快速反应的变化，病人的健康状况的手段，在医疗treatment. CONCLUSIONSSThe疼痛评估系统姑息患者使用疼痛日记连同数字笔和无线互联网技术构成了一个毫不费力的方法，并有积极的影响护理。
BACKGROUNDAppropriate pain assessment is a necessary prerequisite for adequate pain control. A way to follow-up on the pain is to let patients use paper-based or electronic pain diaries.PURPOSEThe aim was to explore and describe palliative home care patients’ experiences of assessing their pain by using a pain diary together with digital pen and mobile Internet technology.METHODSA system for the follow-up of pain treatment was developed and evaluated by means of a qualitative cross-case content analysis. From December 2002 until September 2003 12 palliative patients, who initially assessed VAS pain≥35mm (VAS 0–100mm), used the system. Patients reported their momentary pain intensity and the number of consumed extra doses of analgesics three times per day. Analysis data were collected from interviews with patients and spouses, questionnaires, medical records, and the system log.RESULTSIn spite of severe illness and difficulties in comprehending the technology and system intervention, patients found the pain diary and digital pen easy to use for pain assessment. Patients took a greater part in their own care and experienced an improved contact with their caregivers, which led to a sense of increased security. The medical records showed a quick response to variations in the patients’ health status by means of changes in medical treatment.CONCLUSIONSThe pain assessment system for palliative patients using pain diaries together with digital pen and wireless Internet technology constitutes an effortless method and has positive influences on the care.