711th Human Performance Wing, Air Force Research Laboratory, En Route Care Research, 2510 5th Street, Bldg 840, Wright-Patterson AFB, OH 45433, United States of America.
711th Human Performance Wing, Air Force Research Laboratory, Medical Plans and Programs, 2610 7th Street, Bldg 441, Wright-Patterson AFB, OH 45433, United States of America.
Appl Nurs Res. 2021 Apr;58:151393. doi: 10.1016/j.apnr.2020.151393. Epub 2020 Dec 8.
One of the most significant challenges faced by the U.S. military health system is effective pain management. In resource-denied environments such as En Route Care (ERC), patient care begins with effective acute pain management and is vital to ensure optimal long-term patient outcomes. An electronic, mobile pain management application (app) called the Bee Better app was developed to address the gaps in acute pain management for patients transported throughout the ERC system. The app enables patients to track self-reported acute pain data, provides education and evidenced-based non-pharmacologic interventions during transport. The Delphi method was used as a novel approach to solicit feedback from subject matter experts to systematically enhance the app development process. In its current state, the app tracks patients' reported pain data and information regarding medication intake and provides educational resources about medications and the flight environment. Optimally in the future, the app will deliver real-time therapeutic pain interventions, integrate with the electronic health record and communicate with providers in real-time during care, enabling better patient-centered pain management in the austere ERC environment. Initial usability scores were above industry standards indicating a potential benefit in using a rigorous process for healthcare app development. These mobile apps may enable increased self-management and autonomy in resource-limited environments and optimize outcomes of acute pain management.
美国军事医疗体系面临的最大挑战之一是有效的疼痛管理。在资源匮乏的环境中，如途中护理（ERC），患者的护理始于有效的急性疼痛管理，这对于确保最佳的长期患者预后至关重要。开发了一个名为 Bee Better 的电子移动疼痛管理应用程序（app），以解决在 ERC 系统中转运的患者急性疼痛管理方面的差距。该应用程序使患者能够跟踪自我报告的急性疼痛数据，在运输过程中提供教育和基于证据的非药物干预措施。德尔菲法被用作一种新颖的方法，从主题专家那里征求反馈意见，以系统地增强应用程序的开发过程。在当前状态下，该应用程序可以跟踪患者报告的疼痛数据以及有关药物摄入的信息，并提供有关药物和飞行环境的教育资源。在未来，该应用程序将能够提供实时治疗性疼痛干预，与电子健康记录集成，并在护理过程中实时与提供者进行通信，从而在艰苦的 ERC 环境中实现更好的以患者为中心的疼痛管理。初步的可用性评分高于行业标准，这表明在医疗保健应用程序开发中使用严格的流程具有潜在的益处。这些移动应用程序可以在资源有限的环境中提高自我管理和自主权，并优化急性疼痛管理的效果。
