关于e-PainSupport的研究协议:在家庭临终关怀中使用数字应用程序报告疼痛和疼痛管理
Masako Mayahara1, JoEllen Wilbur1, Arlene Michaels Miller1
1Rush University, College of Nursing, Chicago, IL, United States of America.
Contemporary clinical trials communications
|December 29, 2023
概括
数字工具e-PainSupport可以通过提高护理人员的知识和信心来改善晚期疾病患者的疼痛管理. 这种干预显示出更好的临终关怀和护士-病人沟通的潜力.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 数字健康干预措施 数字健康干预措施
- 疼痛管理 疼痛管理
背景情况:
- 高强度的疼痛在晚期疾病中普遍存在,经常因家庭临终关怀中护理人员的限制而恶化.
- 对疼痛管理的不良坚持源于护理人员对止痛药的知识和自我有效性的缺陷.
研究的目的:
- 评估e-PainSupport数字应用程序对晚期疾病患者疼痛强度的影响.
- 评估患者/护理人员知识,自我效能和疼痛管理中的坚持的调解作用.
- 探索护士对e-PainSupport的辅导员,障碍和收容所设置中的好处的看法.
主要方法:
- 一个随机对照试验,涉及132个三元组 (患者,护理人员,护士),将e-PainSupport与标准护理进行比较.
- 多级建模分析患者和护理人员的结果 (疼痛强度,知识,自我有效性,坚持) 在基线和2周.
- 与护士进行半结构面试的定性内容分析,以确定实施因素和感知到的好处.
主要成果:
- 该研究旨在比较e-PainSupport和标准护理组之间的疼痛强度的临床改善和疼痛尺度的显著改善.
- 将研究知识,自我效能和坚持对疼痛强度变化的调解效应.
- 将确定护士对促进者,障碍和将e-PainSupport整合到宿舍工作流中的好处的看法.
结论:
- 电子疼痛支持有潜力提高护士与患者之间的沟通.
- 数字应用程序可能会显著改善接受家庭临终关怀的患者的疼痛管理.
- 解决护理人员的知识和自我效能差距可以优化晚期疾病的疼痛管理.
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