TY - JOUR AU - Buck, Christoph AU - Keweloh, Christian AU - Bouras, Adam AU - Simoes, Eduardo J PY - 2021 DA - 201/6/16 TI -短信服务短信干预术后疼痛管理的有效性:系统综述JO - JMIR Mhealth Uhealth SP - e20199 VL - 9 IS - 6 KW -系统文献综述KW -疼痛管理KW -阿片类药物KW -短信服务(SMS) KW -术后AB -背景:阿片类药物和合成阿片类药物成瘾对全世界的公共卫生构成重大威胁，主要问题是为止痛而开的阿片类药物。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?方法:系统文献综述主要遵循PRISMA指南和信息系统相关研究的系统文献综述指南。根据目标和研究问题开发了搜索字符串，并搜索了8个数据库。结果:最初的搜索产生了2083条记录，可以通过应用各种排除标准来缩小范围。 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. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2021/6/e20199 UR - https://doi.org/10.2196/20199 UR - http://www.ncbi.nlm.nih.gov/pubmed/34132646 DO - 10.2196/20199 ID - info:doi/10.2196/20199 ER -