通过远程医疗改变慢性疼痛护理:意大利的观点
Francesco Amato1, Maria Carmela Monaco1, Silvia Ceniti1
1UOC Terapia del Dolore e Cure Palliative Presidio Ospedaliero "Mariano Santo", Contrada Muoio Piccolo snc, 87100 Cosenza, Italy.
远程医疗显著改善了癌症幸存者的慢性疼痛 (CP) 管理. 六个月的远程护理后,患者的疼痛减少,功能改善,生活质量提高.
科学领域:
- 疼痛管理 疼痛管理
- 在瘤学瘤学.
- 数字健康数字健康
背景情况:
- 慢性疼痛 (CP) 显著影响癌症幸存者的生活质量.
- 复杂的CP给有效的管理和医疗保健系统带来了挑战.
研究的目的:
- 评估远程医疗在癌症幸存者的复杂慢性疼痛管理中的有效性.
- 评估远程医疗对疼痛,残疾和健康状况的影响.
主要方法:
- 对100名患有复杂CP的癌症幸存者的多中心回顾性研究.
- 评估使用数值评分表 (NRS),简要疼痛库存 (BPI),奥斯威斯特残疾指数 (ODI) 和EQ-5D-5L.
- 干预涉及六个月的远程医疗.
主要成果:
- 疼痛,残疾和自我感知健康的显著改善 (p < 0.001).
- 77%的患者表现出>4点的NRS改善;BPI得分显著下降.
- 残疾水平从严重提高到中度 (ODI中位数从52增加到30);EQ-5D-5L得分从40增加到60.
结论:
- 远程医疗干预显然可以减少疼痛强度和残疾.
- 远程医疗改善了慢性疼痛患者的生活质量.
- 远程医疗显示了更广泛地整合疼痛管理的变革潜力.
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