Shaygan Maryam, Jaberi Azita
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Sci Rep. 2021 Mar 23;11(1):6588. doi: 10.1038/s41598-021-86156-8.
The development, implementation, and qualitative evaluation of smartphone-based pain management applications may provide an opportunity for more optimal management of pediatric pain in the homesetting. The present mixed-method study was conducted to assess a smartphone-based pain management application regarding the feasibility, adherence, participant satisfaction, and effectiveness on pain intensity and quality of life in adolescents with chronic pain. The study was carried out in the quantitative and qualitative stages using a mixed-method approach. The quantitative stage included 128 adolescents who met the ICD-11 criteria of chronic pain. After random allocation, adolescents allocated to the intervention group received a pain management program through a smartphone-based application. No education was given to the adolescents in the control group. The adolescents were assessed regarding pain intensity and different dimensions of quality of life at pre-intervention, post-intervention, and three-month follow-up. The findings in the quantitative stage were explained by qualitative interviews. The findings of the quantitative stage showed significant improvements in the pain intensity, emotional, social, and school functioning but not in the physical functioning of the adolescents. A high level of adherence (78.12%) and satisfaction (Mean = 26.45, SD = 6.45) with thes martphone-based pain management program was found. Based on the qualitative interviews, adolescents' pain management strategies can be classified in three main categories: physical management, psychological management, and interpersonal resources. The results confirm the positive effect of a smartphone-based pain management program on the pain intensity and different dimensions of quality of life of adolescents with chronic pain. Within the context of chronic pain management, a mobile application incorporating both the psychological and physical management of pain may help adolescents with chronic pain to reduce the negative impacts of pain on their life.
基于智能手机的疼痛管理应用程序的开发、实施和定性评估，可能为在家中更优化地管理儿童疼痛提供机会。本混合方法研究旨在评估一款基于智能手机的疼痛管理应用程序在慢性疼痛青少年中的可行性、依从性、参与者满意度，以及对疼痛强度和生活质量的有效性。该研究采用混合方法分定量和定性两个阶段进行。定量阶段纳入了128名符合国际疾病分类第11版慢性疼痛标准的青少年。随机分配后，分配到干预组的青少年通过基于智能手机的应用程序接受疼痛管理计划。对照组的青少年未接受任何教育。在干预前、干预后和三个月随访时，对青少年的疼痛强度和生活质量的不同维度进行评估。定量阶段的结果通过定性访谈进行解释。定量阶段的结果显示，青少年的疼痛强度、情绪、社交和学校功能有显著改善，但身体功能没有改善。发现青少年对基于智能手机的疼痛管理计划的依从性较高（78.12%），满意度也较高（均值=26.45，标准差=6.45）。基于定性访谈，青少年的疼痛管理策略可分为三大类：身体管理、心理管理和人际资源。结果证实了基于智能手机的疼痛管理计划对慢性疼痛青少年的疼痛强度和生活质量不同维度的积极影响。在慢性疼痛管理的背景下，一款结合了疼痛心理和身体管理的移动应用程序可能有助于慢性疼痛青少年减少疼痛对其生活的负面影响。
