数字技术在慢性疼痛管理中的应用——系统评价。

Digital technologies in management of chronic pain - a systematic review.

机构信息

Department of Physical Therapy, University of Lahore, Lahore, Pakistan.

University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2022 Jun;72(6):1158-1165. doi: 10.47391/JPMA.3885.

DOI:10.47391/JPMA.3885

PMID:35751328

Abstract

OBJECTIVE

To determine the effectiveness of digital health technologies in the management of chronic pain.

METHODS

The systematic review comprised search for randomised controlled trials and controlled clinical trials involving patients with chronic pain published between 2010 and 2020. The search was conducted on PubMed, Google Scholar, MEDLINE, National Centre for Biotechnology Information, and National Library of Medicine databases. Risk bias tool was used to evaluate the biasness in the studies and Pedro scale was used to assess the quality of the included articles.

RESULTS

Of the 33 articles fully assessed, 14(42.42%) were analysed. All the studies analysed were randomised controlled trials and scored 6-10 on the Pedro scale which showed high quality of methodology. The studies typically reported statistically significant benefits of digital health technologies in the management of chronic pain. One of the main benefits was enhanced pain coping skills of the patients. Additionally, majority of the studies included increased adherence to exercise as an essential advantage.

CONCLUSIONS

All the studies analysed reported favourable conclusions regarding the use of digital intervention for chronic pain management.

摘要

目的

评估数字健康技术在慢性疼痛管理中的有效性。

方法

系统评价纳入了 2010 年至 2020 年间发表的涉及慢性疼痛患者的随机对照试验和对照临床试验。检索了 PubMed、Google Scholar、MEDLINE、国家生物技术信息中心和美国国家医学图书馆数据库。使用风险偏倚工具评估研究中的偏倚，使用 Pedro 量表评估纳入文章的质量。

结果

在 33 篇全文评估的文章中，有 14 篇（42.42%）进行了分析。所有分析的研究均为随机对照试验，在 Pedro 量表上评分为 6-10，表明方法学质量较高。这些研究通常报告数字健康技术在慢性疼痛管理中具有统计学意义的益处。其中一个主要益处是增强了患者的疼痛应对技能。此外，大多数研究都包括增加对锻炼的依从性作为一个重要的优势。