COMPUTERIZED PAIN REPORT & NURSING PAIN CONSULT PROTOCO

电脑化疼痛报告

• 批准号: 2850451
• 负责人: DIANA J WILKIE
• 金额: $ 45.14万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-01-01 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2850451
• 关键词: analgesia; analgesics; audiotape; cancer pain; clinical research; clinical trials; computer assisted diagnosis; computer assisted patient care; coping; health care referral /consultation; human subject; lung neoplasms; nursing diagnosis; patient care management; quality of life; questionnaires

For more than 800,000 Americans each year, unrelieved cancer pain is a major health problem attributed in part to assessment difficulties and to lack of knowledge about using the analgesics known to be effective for 85 percent to 95 percent of cancer patients with pain. As a solution to the unnecessary suffering, we propose a randomized clinical trial to compare effects of usual-care in the UW Cancer Center or a protocol of computerized pain assessment and provider decision support on: a) patient outcomes (pain intensity, quality, relief; satisfaction with pain level) in a diverse sample of 176 patients with pain related to bone metastasis; b) provider outcomes (pain documentation; appropriateness of prescribed analgesics; clinic visit length) in a sample of oncology specialists; and c) patient-provider partnership outcomes (patient-centered discussion content during audiotaped clinic visits). In a pre-test and post-test design, patients will complete usual pain assessments and use a new computerized pain assessment tool to document their pain. Pain data from patients assigned to the new protocol will be shared with their oncologists along with a computer generated consultation that includes a list of analgesics appropriate for the character of the patient's pain. The interaction between the patient and the provider during routine clinic visits will be audiotaped and analyzed for types of communication during the visit. One week later, patients will complete the computerized pain assessment tool to document the effect of any therapies prescribed for their pain. Additionally we will describe patient and provider receptivity to the computerized pain tool using semi-structured questions and applying content analysis to the data. Study findings will be used to guide revisions of the tool and to plan organizational level implementation of this new technology as an interface with the electronic health care record.

对于每年超过 800,000 名美国人来说，无法缓解的癌症疼痛是一种痛苦 主要健康问题部分归因于评估困难和 缺乏使用已知有效镇痛药的知识 85% 到 95% 的癌症患者都会感到疼痛。 作为一个 为了解决不必要的痛苦，我们提出了随机临床 比较威斯康星大学癌症中心或美国华盛顿大学癌症中心常规护理效果的试验 计算机化疼痛评估和提供者决策支持协议 a) 患者结果（疼痛强度、质量、缓解；满意度 在 176 名与疼痛相关的患者的不同样本中 骨转移； b) 提供者结果（疼痛记录； 处方镇痛药的适当性；临床就诊时间） 肿瘤学专家样本； c) 患者与提供者之间的伙伴关系 结果（录音诊所期间以患者为中心的讨论内容 访问）。 在测试前和测试后设计中，患者将完成 常规疼痛评估并使用新的计算机化疼痛评估工具 记录他们的痛苦。 来自分配给新组的患者的疼痛数据 协议将与计算机一起与他们的肿瘤科医生共享 生成咨询，其中包括适当的镇痛药清单 针对患者疼痛的性质。 之间的相互作用 例行就诊期间患者和提供者的录音将被录音 并分析访问期间的沟通类型。 一周 随后，患者将完成计算机化疼痛评估工具 记录针对其疼痛所开出的任何疗法的效果。 此外，我们将描述患者和提供者对 使用半结构化问题并应用的计算机化疼痛工具 对数据进行内容分析。研究结果将用于指导 修订该工具并规划组织层面的实施 这项新技术作为电子医疗保健的接口 记录。