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旨在改善老年人慢性疼痛管理的智能手机应用程序:一项综合系统评价。

Smartphone Applications Designed to Improve Older People's Chronic Pain Management: An Integrated Systematic Review.

作者信息

Dunham Margaret, Bonacaro Antonio, Schofield Patricia, Bacon Liz, Spyridonis Fotios, Mehrpouya Hadi

机构信息

College of Health Wellbeing and Life Sciences, Sheffield Hallam University, Sheffield S1 1WB, UK.

School of Nursing, Anglia Ruskin University, Chelmsford CM1 1SQ, UK.

出版信息

Geriatrics (Basel). 2021 Apr 8;6(2):40. doi: 10.3390/geriatrics6020040.

Abstract

(1) Background: Older people's chronic pain is often not well managed because of fears of side-effects and under-reporting. Telehealth interventions, in the form of smartphone applications, are attracting much interest in the management of chronic diseases, with new and evolving approaches in response to current population demographics. However, the extent to which telehealth interventions may be used to promote and effect the self-management of chronic pain is not established. (2) Aim: To provide an objective review of the existing quantitative and qualitative evidence pertaining to the benefits of smartphone applications for the management of chronic pain in older people. (3) Methods: A literature search was undertaken using PubMed, Medline, CINAHL, Embase, PsychINFO, the Cochrane database, Science Direct and references of retrieved articles. The data were independently extracted by two reviewers from the original reports. (4) Results: This integrative systematic review identified 10 articles considering smartphone applications related to self-management of chronic pain among older adults. (5) Conclusions: It is important for future research to not only examine the effects of smartphone initiatives, but also to compare their safety, acceptability, efficacy and cost-benefit ratio in relation to existing treatment modalities.

摘要

(1) 背景:由于担心副作用和报告不足,老年人的慢性疼痛往往得不到很好的管理。以智能手机应用程序形式出现的远程医疗干预措施,在慢性病管理方面正引起广泛关注,并且针对当前人口结构出现了新的和不断发展的方法。然而,远程医疗干预措施在促进和实现慢性疼痛自我管理方面的应用程度尚未确定。(2) 目的:对现有关于智能手机应用程序对老年人慢性疼痛管理益处的定量和定性证据进行客观综述。(3) 方法:使用PubMed、Medline、CINAHL、Embase、PsychINFO、Cochrane数据库、Science Direct以及检索文章的参考文献进行文献检索。两名评审员从原始报告中独立提取数据。(4) 结果:这项综合系统评价确定了10篇关于老年人慢性疼痛自我管理相关智能手机应用程序的文章。(5) 结论:未来的研究不仅要考察智能手机举措的效果,还要比较它们与现有治疗方式相比的安全性、可接受性、疗效和成本效益比,这一点很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376b/8167560/c3caaba33de1/geriatrics-06-00040-g001.jpg

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