Smartphone app in self-management of chronic low back pain: a randomized controlled trial
Smartphone app in self-management of chronic low back pain: a randomized controlled trial
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DOI：
10.1007/s00586-018-5788-5
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发表时间：
2018-11-01
影响因子：
2.8
通讯作者：
Verma, Shalini
中科院分区：
文献类型：
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作者：
Chhabra, H. S.;Sharma, Sunil;Verma, Shalini
背景移动的健康（mHealth）正在成为远程提供康复服务和真实的时间收集结果的最方便的方式，从而通过将护理从医院转移到家庭来促进疾病管理。它有助于获得医疗保健，增强患者对自身状况的了解，以及他们参与自我管理的意愿，让患者和医疗保健专业人员都满意的高质量护理。目的本研究的目的是检查使用智能手机应用程序的效果（称为Snapcare）对慢性腰痛患者的疼痛和功能的影响。招募了三名患有慢性腰痛的患者并将其随机分配到常规组（n = 48），包含处方药物和剂量列表，并说明推荐的体力活动水平（包括家庭锻炼）或接受Snapcare的App组（n = 45），以及书面处方。结果两组患者疼痛和功能障碍均有明显改善（P <0.05），治疗后疼痛和功能障碍均明显改善（P < 0.05）。应用程序组表现出显着更大的下降残疾（p < 0.001）。结论健康应用程序是有前途的工具，改善患有各种慢性疾病的患者的结果。Snapcare促进了体力活动的增加，并为慢性腰痛患者的疼痛和残疾带来了临床上有意义的改善。
Background Mobile health (mHealth) is emerging as the most convenient way to deliver rehabilitation services remotely, and collect outcomes in real time, thus contributing to disease management by transferring care from hospital to home. It facilitates accessibility to healthcare, enhances patients' understanding of their condition, and their willingness to engage in self-management, giving way to high-quality care to the satisfaction of both patients and healthcare professionals.Purpose The purpose of this study was to examine the effect of using a smartphone app (called Snapcare) on pain and function in patients suffering from chronic low back pain.Methods Ninety-three patients with chronic low back pain were recruited and randomly allocated to either the Conventional group (n = 48) receiving a written prescription from the Physician, containing a list of prescribed medicines and dosages, and stating the recommended level of physical activity (including home exercises) or the App group (n = 45) receiving Snapcare, in addition to the written prescription. Pain and disability were assessed at baseline and after 12 weeks of treatment.Results Both the groups showed significant improvement in pain and disability (p < 0.05). The App group showed a significantly greater decline in disability (p < 0.001).Conclusion Health applications are promising tools for improving outcomes in patients suffering from various chronic conditions. Snapcare facilitated increase in physical activity and brought about clinically meaningful improvements in pain and disability in patients with chronic low back pain.