Lind Leili, Karlsson Daniel, Fridlund Bengt
Department of Biomedical Engineering/Medical Informatics, Linköpings Universitet, Sweden.
Med Inform Internet Med. 2007 Dec;32(4):287-96. doi: 10.1080/14639230701785381.
Frequent pain assessment by the use of pain diaries for the follow-up of pain treatment can facilitate the caregivers' work with pain control in home health care. The aim was to explore and describe professional caregivers' experiences of palliative home health-care patients' use of pain diaries and digital pen technology for frequent pain assessment. A system for the follow-up of pain treatment was implemented in routine care and evaluated by means of a qualitative content analysis. Three nurses, two physicians and one secretary were interviewed. Additional analysis data were collected from patients' medical records, and the system log. The caregivers showed a shifting outlook towards the pain-assessment method, an initial cautious outlook due to low expectations of the patients' abilities to use the pain assessment method. Despite this, the caregivers experienced positive outcomes in terms of an increased awareness of pain, and positive patient influences including increased participation in their care, increased security, and improved changes in pain treatment as a response to reported pain assessments. Pain assessment by the use of pain diaries and digital pen technology has positive influences on palliative home-care patients and supports the caregivers' focus on the pain.
在疼痛治疗随访中，通过使用疼痛日记进行频繁的疼痛评估，可促进家庭医疗保健中护理人员的疼痛控制工作。目的是探索并描述专业护理人员对姑息性家庭医疗患者使用疼痛日记和数字笔技术进行频繁疼痛评估的体验。在常规护理中实施了疼痛治疗随访系统，并通过定性内容分析进行评估。对三名护士、两名医生和一名秘书进行了访谈。从患者病历和系统日志中收集了额外的分析数据。护理人员对疼痛评估方法的看法有所转变，起初由于对患者使用疼痛评估方法的能力期望较低而持谨慎态度。尽管如此，护理人员在提高疼痛意识方面取得了积极成果，对患者也产生了积极影响，包括增加对自身护理的参与度、增强安全感以及因报告的疼痛评估而改善疼痛治疗方案。使用疼痛日记和数字笔技术进行疼痛评估对姑息性家庭护理患者有积极影响，并有助于护理人员关注疼痛。
