结合数字干预来减少膝关节置换患者的疼痛:一项随机临床试验
Vicky Duong1, Sarah R Robbins1, Simone Dennis1
1Sydney Musculoskeletal Health, Kolling Institute, the University of Sydney, Sydney, New South Wales, Australia.
JAMA network open
|September 15, 2023
概括
数字技术改善了全膝关节置换 (TKR) 的结果,与常规护理相比,显示了较小的疼痛减轻和更好的功能. 定制干预措施是长期自我管理和最佳结果的关键.
科学领域:
- 整形外科手术 整形外科手术
- 数字健康干预措施 数字健康干预措施
- 康复技术 康复技术 康复技术
背景情况:
- 数字技术有可能提高全膝关节置换 (TKR) 后的结果.
- 之前的研究表明,数字交付的干预措施与骨关节炎管理的面对面方法相似.
- 增加患者参与率是骨科护理中数字健康解决方案的一个明显好处.
研究的目的:
- 与标准护理相比,评估数字技术包在缓解TKR后疼痛方面的有效性.
- 评估数字干预在全膝关节置换手术后减轻疼痛的影响.
主要方法:
- 一个随机临床试验,涉及102名成年参与者在澳大利亚悉尼接受TKR.
- 干预组接受了通常的护理以及数字包 (运动应用程序,健身追踪器,在线辅导).
- 对照组接受了通常的护理,使用了被禁用的健身追踪器;随访时间为12个月.
主要成果:
- 3个月后,数字干预组在疼痛方面出现了小但统计学上显著的改善 (平均差异为-0.84).
- 二次结果显示,疼痛强度,疼痛障碍和久坐行为显著减少,有利于干预组.
- 从基线到TKR后12个月,观察到疼痛和功能的改善.
结论:
- 综合数字技术计划在TKR后3个月产生了适度但不具有临床意义的疼痛改善.
- 数字干预证明了对疼痛,残疾和久坐行为的长期有利影响.
- 未来的研究应该专注于将数字干预量身定制到个体患者需要的持续自我管理.
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