@文章{信息:doi/10.2196/20199，作者=“Buck, Christoph and Keweloh, Christian and Bouras, Adam and Simoes, Eduardo J”，标题=“短信服务短信干预对术后疼痛管理的有效性:系统综述”，期刊=“JMIR Mhealth Uhealth”，年=“2021”，月=“Jun”，日=“16”，卷=“9”，数=“6”，页=“e20199”，关键词=“系统文献综述;疼痛管理;阿片样物质;短消息服务;背景:阿片类药物和合成阿片类药物成瘾对全球公共健康构成重大威胁，用于治疗疼痛的药物阿片类药物构成主要问题。为了对抗这种威胁，应该在医疗保健中实施适当的疼痛管理策略。使用具有一定资源强度和数字化的远程医疗来监测疼痛管理似乎是可行的。作为这类监控的通信渠道，SMS似乎是一种有效的替代方案。目的:本系统文献综述的目的是(1)提供关于通过短信进行术后疼痛管理的研究现状的信息，(2)建立基于短信的疼痛管理的基本认识，(3)深入了解这些管理策略的可行性。研究问题是:利用SMS进行术后疼痛管理是否可行和有效? Methods: A systematic literature review was performed mainly following the PRISMA guidelines and another guide on performing a systematic literature review for information systems--related research. A search string was developed based on the objectives and research question, and eight databases were searched. Results: The initial search resulted in 2083 records, which could be narrowed down by applying various exclusion criteria. Thereby, 11 articles were identified as relevant, which were accordingly analyzed and evaluated by full-text screening. In all articles, pain management interventions were performed using SMS communication between health care professionals and patients or their legal guardians. A prospective approach was predominantly chosen as the study design (91{\%}) with the leading research objective of determining the intervention's feasibility (73{\%}). The primary reason for sending SMS messages was to monitor patients (64{\%}). Overall, the use of SMS improved adherence, acceptance, and satisfaction regarding postoperative pain management. With an average response rate of approximately 89.5{\%} (SD 3.8{\%}), the reliability of SMS as a communication and monitoring tool was further emphasized. This response rate is significantly higher than that for email interventions (66.63{\%}, P<.001). Conclusions: This study provides a comprehensive picture of the current status on postoperative pain management by SMS. Communication via SMS was beneficial in all interventions, even preoperative. Six SMS interventions could be certified by the respective institutional review board and three were Health Insurance Portability and Accountability Act--compliant. Therefore, the results of this study could be leveraged to address the opioid epidemic. Overall, the research question could be confirmed. Future research should extend this systematic literature review regarding preoperative pain management. Based on these findings, a pre- and postoperative communication model should be developed to address the opioid epidemic effectively. ", issn="2291-5222", doi="10.2196/20199", url="https://mhealth.www.mybigtv.com/2021/6/e20199", url="https://doi.org/10.2196/20199", url="http://www.ncbi.nlm.nih.gov/pubmed/34132646" }