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在家中使用数字和远程医疗工具进行术后疼痛管理:对卫生专业人员角色和临床结果的范围综述。

Use of Digital and Telemedicine Tools for Postoperative Pain Management at Home: A Scoping Review of Health Professionals' Roles and Clinical Outcomes.

作者信息

Azzellino Gianluca, Aitella Ernesto, Ginaldi Lia, Vagnarelli Patrizia, De Martinis Massimo

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

Complex Operational Unit, Adriatic District Area, Azienda Unità Sanitaria Locale 04 Teramo (AUSL 04 Teramo), 64100 Teramo, Italy.

出版信息

J Clin Med. 2025 Jun 5;14(11):4009. doi: 10.3390/jcm14114009.

Abstract

Postoperative pain management after hospital discharge remains one of the main clinical challenges. The use of digital and telemedicine tools offers new opportunities for the continuous monitoring of, and timely intervention in, patients discharged and followed at home. This scoping review, conducted according to the PRISMA-ScR checklist and the Joanna Briggs Institute methodology, analyzed 26 studies selected through a search of PubMed, Scopus, and Web of Science databases. Inclusion criteria comprised studies published between 2015 and 2025 that involved patients discharged home after surgery, that used digital or telemedicine tools for pain management, and that included active involvement of healthcare professionals and reported clinical outcomes. Studies show the use of a variety of digital tools, including mobile applications, web platforms, wearable sensors, automated messaging systems, and virtual reality technologies, alternating across settings for the assessment and management of pain at home, educational and therapeutic support, and to enhance communication between healthcare professionals and patients. Most reported outcomes focus on improved home-based pain control, a reduction in opioid consumption, and a high level of patient satisfaction. However, some challenges remain, particularly the low level of digital literacy among certain segments of the population. In conclusion, the implementation of telemedicine and digital technologies for managing postoperative pain at home proves to be a promising strategy. Nonetheless, it requires further scientific investigation and, from policymakers, significant investments in professional training and technological infrastructure to ensure an increasingly equitable and sustainable distribution of home healthcare services.

摘要

出院后的术后疼痛管理仍然是主要的临床挑战之一。数字和远程医疗工具的使用为持续监测出院后在家中接受随访的患者并及时进行干预提供了新机会。本范围综述根据PRISMA-ScR清单和乔安娜·布里格斯研究所的方法进行,分析了通过检索PubMed、Scopus和Web of Science数据库选出的26项研究。纳入标准包括2015年至2025年发表的研究,这些研究涉及术后出院回家的患者,使用数字或远程医疗工具进行疼痛管理,包括医护人员的积极参与并报告了临床结果。研究表明使用了多种数字工具,包括移动应用程序、网络平台、可穿戴传感器、自动消息系统和虚拟现实技术,在不同场景中交替使用,用于在家中评估和管理疼痛、提供教育和治疗支持以及加强医护人员与患者之间的沟通。大多数报告的结果集中在改善家庭疼痛控制、减少阿片类药物消费以及患者满意度较高。然而,一些挑战仍然存在,尤其是某些人群的数字素养水平较低。总之,在家中实施远程医疗和数字技术来管理术后疼痛被证明是一种有前景的策略。尽管如此,它需要进一步的科学研究,并且政策制定者需要在专业培训和技术基础设施方面进行大量投资,以确保家庭医疗服务的分配越来越公平和可持续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30c9/12156900/4ef2194fecc9/jcm-14-04009-g001.jpg

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