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首页> 外文期刊>JMIR mHealth and uHealth >Development and Testing of an Intelligent Pain Management System (IPMS) on Mobile Phones Through a Randomized Trial Among Chinese Cancer Patients: A New Approach in Cancer Pain Management
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Development and Testing of an Intelligent Pain Management System (IPMS) on Mobile Phones Through a Randomized Trial Among Chinese Cancer Patients: A New Approach in Cancer Pain Management

机译：通过在中国癌症患者中进行的随机试验，开发和测试手机智能疼痛管理系统（IPMS）：癌症疼痛管理的新方法

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Background Cancer has become increasingly prevalent in China over the past few decades. Among the factors that determine the quality of life of cancer patients, pain has commonly been recognized as a most critical one; it could also lead to the ineffective treatment of the cancer. Driven by the need for better pain management for cancer patients, our research team developed a mobile-based Intelligent Pain Management System (IPMS). Objective Our objective was to design, develop, and test the IPMS to facilitate real-time pain recording and timely intervention among cancer patients with pain. The system’s usability, feasibility, compliance, and satisfaction were also assessed. Methods A sample of 46 patients with cancer pain symptoms were recruited at the Oncology Center of Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Chongming Branch (hereinafter referred to as “the Oncology Center”). In a pretest, participants completed a pain management knowledge questionnaire and were evaluated using the baseline cancer pain assessment and Karnofsky Performance Status (KPS) evaluation. The participants were then randomly assigned into two groups (the trial group and the control group). After a 14-day trial period, another round of cancer pain assessment, KPS evaluation and pain management knowledge assessment were repeated. In the trial group, the data were fully automatically collected by the IPMS. In the control group, the data were collected using conventional methods, such as phone interviews or door-to-door visits by physicians. The participants were also asked to complete a satisfaction questionnaire on the use of the IPMS. Results All participants successfully completed the trial. First, the feasibility of IPMS by observing the number of daily pain assessments recorded among patients was assessed. Second, the users’ satisfaction, effectiveness of pain management, and changes in the quality of their lives were evaluated. All the participants gave high satisfaction score after they used IMPS. Both groups reported similar pain scores and KPS scores at the baseline. At the end of the trial, the mean pain score of the trial group was significantly lower than of the control group ( P <.001). The ending KPS score of the trial group was significantly higher than of the control group ( P <.001). The improvement of pain management knowledge score in the trial group was more pronounced than that in the control group ( P <.001). Conclusions This study provided preliminary data to support the potentials of using IPMS in cancer pain communication between patients and doctors and to provide real-time supportive intervention on a convenient basis at a low cost. Overall, the IPMS can serve as a reliable and effective approach to control cancer pain and improve quality of life for patients with cancer pain. Trial Registration Clinicaltrials.gov {"type":"clinical-trial","attrs":{"text":"NCT02765269","term_id":"NCT02765269"}} NCT02765269 ; http://clinicaltrials.gov/ct2/show/ {"type":"clinical-trial","attrs":{"text":"NCT02765269","term_id":"NCT02765269"}} NCT02765269 (Archived by WebCite at?http://www.webcitation.org/6rnwsgDgv).
机译：背景技术在过去的几十年中，癌症在中国变得越来越普遍。在决定癌症患者生活质量的因素中，疼痛通常被认为是最关键的因素。它也可能导致癌症的无效治疗。基于对癌症患者更好的疼痛管理的需求，我们的研究团队开发了基于移动设备的智能疼痛管理系统（IPMS）。目的我们的目标是设计，开发和测试IPMS，以促进疼痛患者的实时疼痛记录和及时干预。还评估了系统的可用性，可行性，合规性和满意度。方法从上海交通大学医学院附属崇明分院新华医院肿瘤中心（以下简称“肿瘤中心”）收集46例癌痛症状患者。在预测试中，参与者完成了疼痛管理知识问卷，并使用基线癌症疼痛评估和Karnofsky绩效状态（KPS）评估进行了评估。然后将参与者随机分为两组（试验组和对照组）。经过14天的试用期后，重复了另一轮癌症疼痛评估，KPS评估和疼痛管理知识评估。在试验组中，IPMS完全自动收集了数据。在对照组中，数据是使用常规方法收集的，例如电话采访或医生的上门拜访。还要求参与者填写有关IPMS使用情况的满意度调查表。结果所有参与者均成功完成了试验。首先，通过观察患者之间每天记录的疼痛评估次数来评估IPMS的可行性。其次，评估用户的满意度，疼痛管理的有效性以及生活质量的变化。使用IMPS后，所有参与者的满意度都很高。两组在基线时均报告了相似的疼痛评分和KPS评分。在试验结束时，试验组的平均疼痛评分显着低于对照组（P <.001）。试验组的最终KPS评分显着高于对照组（P <.001）。与对照组相比，试验组疼痛管理知识得分的改善更为明显（P <.001）。结论这项研究提供了初步的数据，以支持在患者和医生之间使用IPMS进行癌症疼痛交流的潜力，并在方便的基础上以低成本提供实时的支持性干预。总体而言，IPMS可以作为控制癌症疼痛并改善癌症疼痛患者生活质量的可靠有效方法。试用注册Clinicaltrials.gov {“ type”：“ clinical-trial”，“ attrs”：{“ text”：“ NCT02765269”，“ term_id”：“ NCT02765269”}} NCT02765269; http://clinicaltrials.gov/ct2/show/ {“ type”：“ clinical-trial”，“ attrs”：{“ text”：“ NCT02765269”，“ term_id”：“ NCT02765269”}} NCT02765269（由WebCite存档在？http：//www.webcitation.org/6rnwsgDgv）。

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