Cordero Tous Nicolás, Santos Martín Lucía, Sánchez Corral Carlos, Román Cutillas Ana María, Núñez Alfonsel Belén, Román Moyano Marta, Horcajadas Almansa Ángel
Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves, Granada, España.
Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen de las Nieves, Granada, España.
Neurocirugia (Astur). 2022 Nov-Dec;33(6):318-327. doi: 10.1016/j.neucir.2021.08.004. Epub 2021 Oct 7.
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 COVID-19 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).
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.
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.
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.
慢性疼痛是世界上最普遍的病症之一。在最极端的情况下会使用神经刺激器进行治疗，这需要大量资源投入。在新冠疫情这个时期，我们提出了一种用于监测这类患者的综合解决方案，该解决方案包括开发一款移动应用程序以及一个远程监测支持中心（SCRM）。
该项目依据科学证据按以下阶段开展：（1）慢性疼痛植入物在多学科临床委员会获得批准，（2）组建专家小组，（3）将慢性疼痛患者随访方案适配至智能手机环境，（4）使技术平台适配临床方案（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）来进行质量评估。
通过向首批植入患者询问关于设计和实用性的用户意见对该应用程序进行了评估。在可下载材料、屏幕颜色和文本方面进行了一些小调整。
开发综合解决方案应基于科学原则并符合既定方案。一个支持中心可确保更高的随访依从性以及更好的患者护理。
