Birnie Kathryn A, Killackey Tieghan, Stinson Jennifer, Noel Melanie, Lorenzetti Diane L, Marianayagam Justina, Jordan Isabel, Jordan Evie, Neville Alexandra, Pavlova Maria, Campbell Fiona, Lalloo Chitra
Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, AB, Canada.
Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Pain Rep. 2021 Jun 3;6(2):e935. doi: 10.1097/PR9.0000000000000935. eCollection 2021 Jul-Aug.
The COVID-19 pandemic has acutely challenged health systems and catalyzed the need for widescale virtual care and digital solutions across all areas of health, including pediatric chronic pain. The objective of this rapid systematic review was to identify recommendations, guidelines, and/or best practices for using virtual care to support youth with chronic pain and their families (CRD42020184498). MEDLINE, CINAHL, Embase, APA PsychINFO, and Web of Science were searched the week of May 25, 2020, for English language peer-reviewed articles published since 2010 that (1) discussed children and adolescents aged <18 years reporting any type of chronic pain (ie, pain lasting >3 months); (2) focused on any type of virtual care (eg, telephone, telehealth, telemedicine, mHealth, eHealth, online, or digital); and (3) reported on guidelines, best practices, considerations, or recommendations for virtual care. Abstract and full text screening and data extraction were performed in duplicate. Meta-ethnography was used to synthesize concepts across articles. Of 4161 unique records screened, 16 were included addressing diverse virtual care and pediatric chronic pain conditions. Four key themes were identified: (1) opportunities to better leverage virtual care, (2) direct effective implementation of virtual care, (3) selection of virtual care platforms, and (4) gaps in need of further consideration when using virtual care to support youth with chronic pain and their families. No existing guidelines for virtual care for pediatric chronic pain were identified; however, best practices for virtual care were identified and should be used by health professionals, decision makers, and policymakers in implementing virtual care.
新冠疫情给卫生系统带来了严峻挑战，促使人们在包括儿童慢性疼痛在内的所有卫生领域广泛采用虚拟护理和数字解决方案。本快速系统评价的目的是确定利用虚拟护理支持慢性疼痛青少年及其家庭的建议、指南和/或最佳实践（CRD42020184498）。于2020年5月25日那周检索了MEDLINE、CINAHL、Embase、美国心理学会心理学文摘数据库（APA PsychINFO）和科学网（Web of Science），以查找自2010年以来发表的英文同行评审文章，这些文章需满足：（1）讨论了报告任何类型慢性疼痛（即疼痛持续超过3个月）的18岁以下儿童和青少年；（2）聚焦于任何类型的虚拟护理（如电话、远程医疗、远程医学、移动健康、电子健康、在线或数字）；（3）报告了虚拟护理的指南、最佳实践、注意事项或建议。摘要和全文筛选以及数据提取均重复进行。采用元民族志方法综合各文章中的概念。在筛选的4161条独特记录中，有16条纳入研究，涉及多种虚拟护理和儿童慢性疼痛情况。确定了四个关键主题：（1）更好利用虚拟护理的机会；（2）虚拟护理的直接有效实施；（3）虚拟护理平台的选择；（4）在使用虚拟护理支持慢性疼痛青少年及其家庭时需要进一步考虑的差距。未找到关于儿童慢性疼痛虚拟护理的现有指南；然而，确定了虚拟护理的最佳实践，卫生专业人员、决策者和政策制定者在实施虚拟护理时应予以采用。
