利用网络减轻门诊手术后的疼痛。
Using the Web to reduce postoperative pain following ambulatory surgery.
作者信息
Goldsmith D M, Safran C
机构信息
Center for Clinical Computing, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
出版信息
Proc AMIA Symp. 1999:780-4.
To test the hypothesis that educational information provided via the web would not only be accessed by our patients, but could also reduce postoperative pain following ambulatory surgery, we enrolled 195 patients into a randomized controlled study. Fifty-two percent of our ambulatory surgery patients already knew how to use and had access to the Internet. Eighty-five percent of our study patients accessed the resources made available to them on the web site. Patients who had access to the pain management information on the ambulatory surgery web site reported significantly less postoperative pain on arrival to their home after surgery (p < 0.016) and into the night after surgery (p < 0.013). These patients also reported significantly less postoperative pain for the day immediately following surgery (p < 0.037). We conclude that using the Internet to provide just-in-time patient education can significantly effect the clinical outcome of care.
为了验证通过网络提供的教育信息不仅能被我们的患者获取，还能减轻门诊手术后的疼痛这一假设，我们将195名患者纳入了一项随机对照研究。我们的门诊手术患者中有52%已经知道如何使用互联网并且能够访问互联网。我们研究中的85%的患者访问了网站上提供给他们的资源。能够访问门诊手术网站上疼痛管理信息的患者在术后回家时（p < 0.016）以及术后当晚（p < 0.013）报告的术后疼痛明显减轻。这些患者在术后紧接着的当天报告的术后疼痛也明显减轻（p < 0.037）。我们得出结论，利用互联网提供即时患者教育可以显著影响护理的临床结果。
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