oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing)ORCID iD: 0000-0001-7575-6745
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0002-5996-2584
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing)ORCID iD: 0000-0001-5403-4183
2017 (English)In: British Journal of Anaesthesia, ISSN 0007-0912, E-ISSN 1471-6771, Vol. 119, no 5, p. 1030-1038Article in journal (Refereed) Published
Abstract [en]

Background: Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on day surgery patients' postoperative recovery. We also investigated whether there were differences in women and men's recovery and recovery scores.

Methods: The study was a single-blind, multicentre randomized controlled trial. A total of 997 patients were randomly allocated to either RAPP or standard care. The Swedish web version of a quality of recovery (SwQoR) questionnaire was used to evaluate the patients' postoperative recovery, either on paper or using an application (RAPP) on postoperative days seven and 14.

Results: On postoperative day seven the RAPP group reported significantly better values in seven out of 24 items of the SwQoR: sleeping difficulties; not having a general feeling of wellbeing; having difficulty feeling relaxed/comfortable; and dizziness; headache; pain in the surgical wound; and a swollen surgical wound compared with the control group, implying a good postoperative recovery. Both men and women in the RAPP group reported significantly better values (and, hence good postoperative recovery) compared with the control group in the items sleeping difficulties; not having a general feeling of wellbeing and pain in the surgical wound.

Conclusions: Measurement of patient-reported outcomes using a smartphone-based application was associated with decreased discomfort from several postoperative symptoms. Systematic e-assessment can thereby increase patients' quality of recovery and identify key areas for improvement in perioperative care.

Place, publisher, year, edition, pages
Oxford University Press, 2017. Vol. 119, no 5, p. 1030-1038
Keywords [en]
Mobile application, patient outcome assessment, postoperative complications, postoperative period
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-61084DOI: 10.1093/bja/aex331ISI: 000413642900026PubMedID: 29077818Scopus ID: 2-s2.0-85034763250OAI: oai:DiVA.org:oru-61084DiVA, id: diva2:1142349
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Swedish Research Council, 2015-02273Available from: 2017-09-19 Created: 2017-09-19 Last updated: 2018-05-22Bibliographically approved
In thesis
1. e-Assessed follow-up of postoperative recovery: developement, evaluation and patient experiences
Open this publication in new window or tab >>e-Assessed follow-up of postoperative recovery: developement, evaluation and patient experiences
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The majority of all surgeries are performed as day surgery. After discharge, patients are expected to take responsibility for their postoperative recovery themselves. Recovery Assessment by Phone Points (RAPP) is an e-assessment developed for assessing and providing follow-up on postoperative recovery, which includes the Swedish web-version of the Quality of Recovery questionnaire (SwQoR). It also enables the patient to get in contact with the day surgery unit. The overall aim of this thesis was to further develop and evaluate a systematic follow-up of postoperative recovery using a mobile app in adult persons undergoing day surgery, as well as to describe their experiences of postoperative recovery when using the mobile app. Study I: This study included three steps. Equivalence testing between the paper and app versions of the SwQoR showed agreement (n=69). The feasibility and acceptability evaluation showed that participants (n=63) were positive towards using a mobile phone application during postoperative recovery. Content validity of the SwQoR reduced the original 31 items to 24. Studies II and III: A multicentre, two-group, parallel, single-blind randomized controlled trial including 997 participants was conducted to investigate the effect of e-assessment on postoperative recovery (II) and cost-effectiveness (III) in a RAPP group compared with a control group. The RAPP group reported significantly better quality of postoperative recovery on postoperative days 7 and 14 compared with the control group. Moreover, RAPP may be cost-effective as it provides low-cost care. Study IV: Explored experience of postoperative recovery in participants using a mobile phone app during their postoperative recovery. Qualitative inductive semi-structured interviews (n=18) were performed. Findings showed that feeling safe is important during postoperative recovery. This feeling can be created by patients themselves, but sufficient support and information from health care and next of kin is needed. Overall, this thesis showed positive results for RAPP, suggesting that RAPP is a solution that may benefit patients after day surgery.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2018. p. 97
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 182
Keywords
Ambulatory surgery, cost-effectiveness, eHealth, mobile applications, postoperative recovery, qualitative research, randomised controlled trial
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-65776 (URN)978-91-7529-249-6 (ISBN)
Public defence
2018-06-15, Örebro universitet, Forumhuset, Hörsal F, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2018-03-14 Created: 2018-03-14 Last updated: 2018-05-28Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Jaensson, MariaDahlberg, KarunaEriksson, MatsNilsson, Ulrica

Search in DiVA

By author/editor
Jaensson, MariaDahlberg, KarunaEriksson, MatsNilsson, Ulrica
By organisation
School of Health Sciences
In the same journal
British Journal of Anaesthesia
Anesthesiology and Intensive Care

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 124 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf