在COVID-19期间视频远程护理协作疼痛管理:单臂可行性研究
Daniel G Rogers1,2, Joseph W Frank3,4, Danielle M Wesolowicz5,6
1VA Connecticut Healthcare System, West Haven, CT, USA. daniel.rogers1@va.gov.
BMC primary care
|June 29, 2023
概括
视频远程护理协作疼痛管理 (VCPM) 在对美国退伍军人的研究中显示了可行性和患者满意度. 该计划有效地支持阿片类药物逐渐减少和布普伦诺芬轮换用于慢性疼痛管理.
科学领域:
- 疼痛管理 疼痛管理
- 远程医疗服务是远程医疗服务.
- "阿片类药物使用障碍"
背景情况:
- 慢性疼痛是一种普遍存在的初级保健问题,具有复杂的管理挑战.
- 由于COVID-19的流行,需要创新的医疗保健服务模式.
- 视频远程护理协作疼痛管理 (VCPM) 是为了应对这些挑战而开发的.
研究的目的:
- 评估VCPM计划的可行性和可接受性.
- 评估VCPM在长期服用阿片类药物治疗的美国退伍军人慢性疼痛管理中的有效性.
- 探索患者对虚拟疼痛管理干预措施的满意度.
主要方法:
- 一个单臂可行性研究涉及美国退伍军人≥50毫克MEDD阿片类药物治疗.
- VCPM包括阿片类药物重新评估,逐渐减少,布普伦诺芬轮换和自我管理支持.
- 收集关于入学,参与,患者满意度和治疗结果的数据.
主要成果:
- VCPM实现了可行性和可接受性目标,初次摄入量为33%,多次预约量为14%.
- 患者表示对虚拟模式和提供者互动感到满意.
- 观察到与吗啡相当的每日剂量 (MEDD) 的显著降低,特别是在多次VCPM预约时.
结论:
- VCPM是一种可行和可接受的模型,用于支持基于初级保健的慢性疼痛管理.
- 初步结果表明,VCPM有可能降低阿片类药物剂量并改善患者的治疗结果.
- 为了更广泛的实施,需要进一步制定提高招生和参与度的战略.
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