Defense and Veterans Center for Integrative Pain Management, Uniformed Services University Henry M. Jackson Foundation, Rockville, Maryland, USA.
Pain Med. 2019 Aug 1;20(8):1592-1599. doi: 10.1093/pm/pny288.
Postsurgical follow-up calls enable nurses to assess a patient's condition, provide tailored education, and improve the patient's experience. Despite the benefits, barriers to phone-based assessments may include patient nonresponse and lack of time due to demanding clinical schedules. The purpose of this trial was to examine the feasibility and utility of a smartphone app, mCare, for assessing pain, pain impact, and peripheral nerve block effects in patients.
Pilot randomized control trial.
Eligible patients at a military treatment facility undergoing same-day surgery were randomized to the mCare group (N = 24) or the standard-of-care telephone (N = 26) group.
Outcomes included initial response (assessment completion) rates and participant and nurse satisfaction. There were no differences in the response rates upon initial contact attempt, and patients in both groups reported similar levels of satisfaction and convenience. Nurses reported greater satisfaction with the app compared with standard-of-care telephone calls.
Before wider implementation, further considerations of app-based assessment need to be fully explored.
术后随访电话使护士能够评估患者的病情，提供针对性的教育，并改善患者的体验。尽管有这些好处，但基于电话的评估可能存在障碍，如患者无响应以及由于临床日程紧张而缺乏时间。本试验的目的是研究智能手机应用程序 mCare 在评估患者疼痛、疼痛影响和外周神经阻滞效果方面的可行性和实用性。
试点随机对照试验。
在军事治疗设施接受日间手术的合格患者被随机分配到 mCare 组（N=24）或标准护理电话组（N=26）。
结果包括初始反应（评估完成）率以及参与者和护士的满意度。初次联系尝试时的响应率没有差异，两组患者的满意度和便利性相似。与标准护理电话相比，护士对该应用程序的满意度更高。
在更广泛地实施之前，需要充分探讨基于应用程序的评估。
