《Panda-Nerve Block 疼痛应用程序在单次周围神经阻滞患者中的应用：一项可行性研究》。

The use of the Panda-Nerve Block pain app in single-shot peripheral nerve block patients: a feasibility study.

机构信息

Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, BC, Canada.

School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.

出版信息

Can J Anaesth. 2020 Sep;67(9):1140-1151. doi: 10.1007/s12630-020-01732-2. Epub 2020 Jun 4.

DOI:10.1007/s12630-020-01732-2

PMID:32500515

Abstract

PURPOSE

Peripheral nerve blocks (PNBs) provide excellent perioperative analgesia but can increase the risk of severe postoperative pain once the block wears off. Poor adherence to discharge instructions may increase this risk. Panda-Nerve Block (Panda) is an app that alerts the patient to assess their PNB, score their pain, and take scheduled pain medication. We assessed the usability and feasibility of Panda for assisting patients after receiving a PNB.

METHODS

Twenty-nine patients tested Panda in three rounds, for two to seven days, postoperatively to assess and manage their pain and PNB. Feedback was provided via phone interview and the Computer System Usability Questionnaire (CSUQ). Additionally, each user's usage log was analyzed for parameters such as alert response times. Feasibility was determined by alert responses that occurred before the next alert, with a goal of greater than 50%. User adherence was measured as percentage compliance with alerts within one hour; usability and user satisfaction were determined from the CSUQ and interviews.

RESULTS

A median [interquartile range (IQR)] of 68 [34-93]% responded before the next alert during the first 48 hr of app use, and 83 [54-92]% responded before the next alert with 87 [75-96]% of these within one hour. There were no significant differences in usage between rounds. Ninety-three percent of patients reported Panda to be easy to use and helpful, and 79% of patients would use Panda again. Critical themes included changes to the layout and appearance, clarification of the language of the PNB check, and requests for dynamic adjustments to the medication schedule based on user responses.

CONCLUSION

Panda-Nerve Block is a feasible method for PNB patients to manage postoperative pain with a high response rate. Future work should include providing two-way communication for patients and clinicians and assessing its effect on pain outcomes.

TRIAL REGISTRATION

www.clinicaltrials.gov (NCT03369392); registered 5 December 2017.

摘要

目的

外周神经阻滞（PNB）可提供出色的围手术期镇痛效果，但一旦阻滞消退，会增加严重术后疼痛的风险。不遵守出院医嘱可能会增加这种风险。Panda-Nerve Block（熊猫）是一款应用程序，可提醒患者评估 PNB、疼痛评分并按时服用止痛药。我们评估了熊猫在接受 PNB 后协助患者的可用性和可行性。

方法

29 名患者在术后 2-7 天内分三轮测试了熊猫，以评估和管理他们的疼痛和 PNB。通过电话访谈和计算机系统可用性问卷（CSUQ）提供反馈。此外，还分析了每个用户的使用记录，以评估警报响应时间等参数。通过在下次警报之前发生的警报响应来确定可行性，目标是大于 50%。用户的依从性通过在 1 小时内对警报的遵守程度来衡量；可用性和用户满意度通过 CSUQ 和访谈来确定。

结果

在应用程序使用的前 48 小时内，中位数[四分位距（IQR）]为 68[34-93]%的患者在下次警报之前做出了响应，83[54-92]%的患者在下次警报之前做出了响应，其中 87[75-96]%的患者在 1 小时内做出了响应。各轮之间的使用情况没有显著差异。93%的患者表示熊猫易于使用且有帮助，79%的患者会再次使用熊猫。关键主题包括改变布局和外观、澄清 PNB 检查的语言以及根据用户响应请求动态调整用药时间表。