e-PainSupport:用于家庭临终关怀的数字疼痛管理应用程序。

Masako Mayahara, JoEllen Wilbur, Louis Fogg, Judith A Paice, Arlene M Miller
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引用次数: 0

摘要

e-PainSupport是一款数字疼痛管理应用程序,旨在促进临终关怀中更好的疼痛管理。早期测试显示,护理人员发现它很容易使用,并能成功地将患者疼痛和护理人员使用止痛药的情况传达给临终关怀护士。然而,护理人员对镇痛管理的了解仍然很低。本研究的目的是通过(a)调整和整合循证疼痛教育干预来增强电子疼痛支持;(b) 提高访问和导航应用程序的便利性;以及(c)促进应用程序与机构电子健康记录(EHR)的通信。咨询委员会的方法,包括两个关键的利益相关者小组(一个专家小组和一个护理者咨询委员会),指导了循证疼痛教育干预的适应。此外,利益相关者建议更改格式以提高应用程序的可用性。研究人员与四家临终关怀机构合作,促进应用程序与EHR的沟通。虽然修改e-PainSupport应用程序以集成疼痛教育干预并提高可用性是成功的,但EHR集成具有挑战性。未来需要评估e-PainSupport对家庭临终关怀患者疼痛强度的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
e-PainSupport: A Digital Pain Management Application for Home Hospice Care.

e-PainSupport is a digital pain management application (app) designed to facilitate better pain management in hospice. Early testing revealed caregivers found it was easy to use and successful in communicating patient pain and caregiver administration of analgesics to hospice nurses. However, caregiver knowledge of analgesic management remained low. The purpose of this study was to enhance e-PainSupport by (a) adapting and integrating an evidence-based pain educational intervention; (b) increasing ease of accessing and navigating the app; and (c) facilitating app communication with agency electronic health records (EHRs). An advisory board method, including two key stakeholder groups (an expert panel and a caregiver advisory board), guided the adaptation of an evidence-based pain educational intervention. Further, stakeholders recommended format changes to increase app usability. Study staff worked with four hospice agencies to facilitate app communication with EHRs. While modification to the e-PainSupport app to integrate a pain educational intervention and facilitate usability was successful, EHR integration was challenging. Future evaluation is needed to evaluate the effects of e-PainSupport on pain intensity among home hospice patients.

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