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开发针对 COVID-19 时期慢性疼痛神经刺激器患者的综合解决方案:带支持中心的移动应用程序。

Development of an integrated solution for patients with neurostimulator for chronic pain in times of COVID-19: A mobile application with a support center.

机构信息

Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, Spain.

Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen de las Nieves, Granada, Spain.

出版信息

Neurocirugia (Astur : Engl Ed). 2022 Nov-Dec;33(6):318-327. doi: 10.1016/j.neucie.2021.12.001. Epub 2021 Dec 24.

Abstract

INTRODUCTION

Chronic pain is one of the most prevalent pathologies in the world. Treatment with neurostimulators is carried out in the most extreme cases and requires a large investment of resources. In these times of the COVID19 pandemic, we present a comprehensive solution for monitoring this kind of patient, this solution includes the development of a mobile application and a support center for remote monitoring (SCRM).

MATERIAL AND METHODOLOGY

The project was developed according to the scientific evidence in the following phases: (1) Approval in a multidisciplinary clinical committee of implants for chronic pain, (2) Setting up a group of experts, (3) Protocol adaptation for the follow-up of patients with chronic pain to the Smartphone environment, (4) Technology platform adaptation to the clinical protocol (technological environment and workflow between the hospital and the SCRM), and (5) Quality evaluation by survey (quantitative and qualitative) of a small series of patients.

RESULTS

The application was evaluated by asking for user opinions about design and usefulness with the first implanted patients. Some minor adjustments were made concerning downloadable material and screen color and text.

CONCLUSIONS

Developing a comprehensive solution should be based on scientific principles and in accordance with established protocols. A support center ensures greater adherence for follow-up and better patient care.

摘要

简介

慢性疼痛是世界上最普遍的疾病之一。神经刺激器治疗是在最极端的情况下进行的,需要大量的资源投入。在 COVID19 大流行时期,我们为这类患者提供了一种全面的监测解决方案,该方案包括开发一个移动应用程序和一个远程监测支持中心(SCRM)。

材料和方法

该项目按照以下阶段的科学证据进行开发:(1)在多学科慢性疼痛植入物临床委员会中获得批准,(2)成立专家组,(3)将慢性疼痛患者的随访方案适应于智能手机环境,(4)适应技术平台以符合临床方案(医院与 SCRM 之间的技术环境和工作流程),以及(5)通过对一小部分患者进行调查(定量和定性)来评估质量。

结果

通过向第一批植入患者询问有关设计和实用性的用户意见来评估应用程序。对可下载材料以及屏幕颜色和文本进行了一些小的调整。

结论

开发全面的解决方案应基于科学原则,并符合既定的方案。支持中心可确保更好地进行随访和护理患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df4a/8709195/f2a1b034a397/gr1_lrg.jpg

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