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Holding It Together - Patients' Perspectives on Postoperative Recovery When Using an e-Assessed Follow-Up: Qualitative Study
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7575-6745
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-5996-2584
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2018 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 20, no 5, article id e10387Article in journal (Refereed) Published
Abstract [en]

Background: There is an emerging trend to perform surgeries as day surgery. After a day surgery, most of the recovery period takes place at home, and patients are responsible for their own recovery. It has been suggested that electronic health (eHealth) technologies can support patients in this process. A mobile app has recently been developed to assess and follow up on postoperative recovery after a day surgery.

Objective: The aim of this study was to explore experiences associated with postoperative recovery after a day surgery in patients using a mobile app to assess the quality of their recovery.

Methods: This is a qualitative interview study with an explorative and descriptive design. Participants were recruited from 4 different day surgery units in different parts of Sweden. The study included 18 participants aged >17 years who had undergone day surgery and used the Recovery Assessment by Phone Points, a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected to ensure maximum variation. Semistructured individual interviews were conducted. Data were analyzed using thematic analysis.

Results: A total of two themes and six subthemes emerged from the data: (1) the theme Give it all you’ve got with the subthemes Believing in own capacity, Being prepared, and Taking action, where participants described their possibilities of participating and themselves contributing to improving their postoperative recovery; and (2) the theme The importance of feeling safe and sound with the subthemes Feeling safe and reassured, Not being acknowledged, and Not being left alone, which describe the importance of support from health care professionals and next of kin.

Conclusions: It is important that patients feel safe, reassured, and acknowledged during their postoperative recovery. They can achieve this themselves with sufficient support and information from the health care organization and their next of kin. Using a mobile app, both for assessment and to enable contact with the day surgery unit during the postoperative recovery period, can improve care and create a feeling of not being alone after surgery. We propose that postoperative recovery starts in the prerecovery phase when patients prepare for their recovery to get the best possible outcome from their surgery.

Place, publisher, year, edition, pages
JMIR Publications Inc. , 2018. Vol. 20, no 5, article id e10387
Keywords [en]
Ambulatory surgical procedures, mobile apps, postoperative period, qualitative research
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-67100DOI: 10.2196/10387ISI: 000433219000001Scopus ID: 2-s2.0-85047567613OAI: oai:DiVA.org:oru-67100DiVA, id: diva2:1210322
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Swedish Research Council, 2015-02273Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2018-06-15Bibliographically approved

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Dahlberg, KarunaJaensson, MariaNilsson, UlricaEriksson, MatsOdencrants, Sigrid

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