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远程医疗及其他数字健康解决方案在疼痛管理中的创新应用:一项文献综述

Innovative Applications of Telemedicine and Other Digital Health Solutions in Pain Management: A Literature Review.

作者信息

El-Tallawy Salah N, Pergolizzi Joseph V, Vasiliu-Feltes Ingrid, Ahmed Rania S, LeQuang JoAnn K, Alzahrani Tariq, Varrassi Giustino, Awaleh Fouad I, Alsubaie Abdullah T, Nagiub Mohamed S

机构信息

Anesthesia and Pain Department, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Anesthesia Department, Faculty of Medicine, Minia University & NCI, Cairo University, Cairo, Egypt.

出版信息

Pain Ther. 2024 Aug;13(4):791-812. doi: 10.1007/s40122-024-00620-7. Epub 2024 Jun 13.

Abstract

Since the COVID-19 pandemic, healthcare systems are facing extraordinary challenges. Our approaches to medicine have changed and created a whole new generation of people who have chronic pain. Various medical services were postponed. The pandemic significantly impacted the bio-psychosocial model of pain and the management of chronic pain. These new challenges affected millions of patients worldwide, with more burden on patients with chronic pain. Telemedicine and digital health rather than traditional office visits have become essential tools for communications, resulting in an unmatched surge in telehealth adoption. This new approach facilitated the remote treatment and follow-up of patients who have difficulty to access the healthcare services, particularly patients with chronic pain and those who were receiving regular controlled medications. An extensive computer search was conducted, during the period (from January 2014 to March 2024), and included literature from PubMed, Scopus, MEDLINE, and Google scholar. According to preset inclusion and exclusion criteria, a total of 38 articles have been included in this review article. This literature review focuses on the innovation of telemedicine and digital health in pain management, especially in the context of the challenges posed by the COVID-19 pandemic. The manuscript provides a comprehensive overview of telemedicine and digital communications, their evolution, and their significance in healthcare. It also emphasizes the benefits, challenges, limitations, and the ethical concerns of telemedicine in pain management after the COVID-19 pandemic. Furthermore, the document explores the different modes of the telecommunications and discusses the future directions of the digital health technology.

摘要

自新冠疫情以来,医疗系统面临着巨大挑战。我们的医疗方式发生了变化,造就了全新一代患有慢性疼痛的人群。各类医疗服务被推迟。疫情对疼痛的生物心理社会模型以及慢性疼痛的管理产生了重大影响。这些新挑战影响了全球数百万患者,给慢性疼痛患者带来了更大负担。远程医疗和数字健康而非传统的门诊就诊已成为沟通的重要工具,导致远程医疗的采用率出现了前所未有的激增。这种新方法便于对难以获得医疗服务的患者进行远程治疗和随访,尤其是慢性疼痛患者以及正在接受常规管制药物治疗的患者。在2014年1月至2024年3月期间进行了广泛的计算机检索,检索文献来自PubMed、Scopus、MEDLINE和谷歌学术。根据预设的纳入和排除标准,本综述文章共纳入了38篇文章。这篇文献综述聚焦于远程医疗和数字健康在疼痛管理方面的创新,尤其是在新冠疫情带来的挑战背景下。该手稿全面概述了远程医疗和数字通信、它们的发展历程以及在医疗保健中的重要性。它还强调了新冠疫情后远程医疗在疼痛管理中的益处、挑战、局限性以及伦理问题。此外,该文件探讨了电信的不同模式,并讨论了数字健康技术的未来发展方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ae5/11255158/1348ed209488/40122_2024_620_Fig1_HTML.jpg

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