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首页> 外文期刊>Journal of hospice and palliative nursing: JHPN : the official journal of the Hospice and Palliative Nurses Association >Feasibility of e-Pain Reporter A Digital Pain Management Tool for Informal Caregivers in Home Hospice
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Feasibility of e-Pain Reporter A Digital Pain Management Tool for Informal Caregivers in Home Hospice

机译：E-PAIN记者的可行性是家庭临终关怀的非正式护理人员数字疼痛管理工具

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Informal hospice caregivers often have difficulty managing patient pain at home. We developed a digital application, e-Pain Reporter, for informal caregivers to record and providers to monitor patient pain and pain management. The purpose of this study was (1) to assess the feasibility of informal caregivers using the e-Pain Reporter for 9 days in home hospice by investigating recruitment and retention and caregiver satisfaction with and frequency of use of the e-Pain Reporter and (2) describe patient pain characteristics and caregiver's barriers to pain management and self-efficacy in providing patient care in the home. One-group pre-post design was used. Patient-caregiver dyads were recruited from 1 hospice agency. Caregivers were asked to report all patient pain and pain management using the e-Pain Reporter. Feasibility of the e-Pain Reporter was assessed by the average number of times caregivers recorded breakthrough and daily pain and caregiver satisfaction with the app. The 27-item Barriers Questionnaire II and 21-item Caregiver Self-efficacy Scale were administered at baseline. Fourteen dyads enrolled, 2 patients died, and 12 dyads completed the study. Mean number of pain reports over 9 days was 10.5. Caregivers reported high overall satisfaction with the e-Pain Reporter. Barriers scores were moderately high, suggesting erroneous beliefs and misconceptions about pain reporting and use of analgesics, but self-efficacy in managing pain was also high (93% confidence). Findings suggest that the e-Pain Reporter is a feasible method to report and monitor caregiver management of pain at home. Caregiver high barriers and high overconfidence suggest the need for an educational component to the e-Pain Reporter to address misconceptions about pain and pain management.
机译：非正式临终关怀护理人员往往难以在家里管理患者疼痛。我们开发了一种数字应用，电子痛记者，为非正式护理人员来记录和提供者监测患者疼痛和疼痛管理。本研究的目的是（1）通过调查招聘和保留和护理人员满意度和使用e-Pain记者的使用和频率）描述患者疼痛特征和照顾者对疼痛管理的障碍和自我效能在家里提供患者护理。使用一组预先设计。患者 - 照顾性二元由1张临近临终关字机构招募。要求护理人员用电子疼痛记者报告所有患者疼痛和疼痛管理。通过平均护理人员记录突破和每日痛苦和护理人员与应用程序满意度的平均次数评估了e-pain记者的可行性。在基线施用27项障碍调查问卷II和21件护理人员自我疗效量表。 14个二元患病，2名患者死亡，12个Dyads完成了这项研究。 9天内的疼痛报告的平均数是10.5。护理人员报告了与E-Pain记者的总体满意度。障碍评分适度高，表明对疼痛报告和使用镇痛药的错误信念和误解，但管理疼痛的自我效能也很高（置信93％）。调查结果表明，电子疼痛记者是报告和监测家庭疼痛的护理人员管理的可行方法。护理人员高障碍和高度交通建议需要对e-peact记者进行教育成分，以解决对疼痛和疼痛管理的误解。

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