电子健康记录 记录患者的疼痛:挑战和差异
Yasmeen Kawji1, Hanna Almoaswes1, Claire Bise1
1School of Medicine, Louisiana State University Health Sciences Center New Orleans, 433 Bolivar Street, New Orleans, LA, 70112, USA.
Current pain and headache reports
|September 23, 2023
概括
了解患者的疼痛感知对于有效的疼痛管理至关重要. 从电子健康记录中获得准确的疼痛尺度数据有助于临床医生优化疼痛控制和识别高风险患者.
科学领域:
- 疼痛管理 疼痛管理
- 临床评估 临床评估
- 医疗信息学 医疗信息学
背景情况:
- 患者的疼痛感知受到各种因素的影响,包括使用的评估工具和临床医生与患者的互动.
- 电子健康记录 (EHR) 为分析术后疼痛预测因素提供了基础.
- 疼痛报告存在差异,原因是测量仪器和EHR数据存储的差异.
研究的目的:
- 为了审查疼痛的类别,临床医生观察到的和患者报告的疼痛量表.
- 了解影响患者疼痛感知的因素.
- 为了确定评估疼痛尺度数据的研究差距,以获得最佳的治疗和管理.
主要方法:
- 审查关于疼痛评估尺度和EHR数据利用的现有文献.
- 分析影响患者疼痛报告和感知的因素.
- 评估不同疼痛评估仪器及其局限性.
主要成果:
- 电子病历数据可以帮助确定术后疼痛的患者预测因素,例如手术类型,先前的不适,焦虑和年龄.
- 疼痛量表和电子病历数据存储的变化导致患者疼痛报告中的差异.
- 使用EHR数据进行准确的疼痛评估有可能改善疼痛管理.
- 识别患有严重术后疼痛的高风险患者,可以进行更有针对性的治疗.
结论:
- 疼痛尺度数据是临床医生提供最佳疼痛控制的宝贵工具.
- 通过EHR数据提取来准确评估患者的疼痛感知,可以增强疼痛缓解.
- 预测高风险的术后疼痛仍然是一个重大的临床挑战,需要进一步的研究.
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