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“Let the patient decide” – person-centered postoperative follow-up contacts, initiated via a phone app after day surgery: secondary analysis of a randomized controlled trial
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7574-6745
Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden; Perioperative Medicine, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0001-5403-4183
2019 (English)In: International Journal of Surgery, ISSN 1743-9191, E-ISSN 1743-9159, p. 33-37Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients undergoing day surgery are expected to manage their recovery on their own. Follow-up routines differ, but many patients have expressed a need for more professional support during recovery. The aim of this study was to describe how many follow-up contacts were initiated, and when and why, via a digital solution. Also, we wanted to compare postoperative recovery and characteristics between patients requesting, and patients not requesting, contact.

MATERIALS AND METHODS: This was a secondary analysis of a multicenter, two-group, parallel randomized controlled trial. Participants used a digital solution called "Recovery Assessment by Phone Points (RAPP)" for initiating follow-up contacts after day surgery. The quality of postoperative recovery was measured with the Swedish web-version of Quality of Recovery.

RESULTS: Of 494 patients, 84 (17%) initiated contact via RAPP. The most common reasons for initiating contact were related to the surgical wound and pain. Contacts were initiated across the 14-day assessment period, with 62% (62/100) in the first postoperative week. The RAPP contact group had significantly poorer postoperative recovery on days 1-14 compared to those not requesting contact via RAPP (p < 0.001). There was a significantly higher proportion of patients who had undergone general anesthesia in the RAPP contact group (85% [71/84]) compared to the non-RAPP contact group (71% [291/410]), p = 0.003.

CONCLUSION: Letting the patient decide him/herself whether, and when, contact and support is needed during the postoperative period, is possible and does not increase the frequency of contacts. This study investigates a digital solution, RAPP, as one example of a person-centered approach that can be implemented in day surgery follow-up.

Place, publisher, year, edition, pages
Elsevier, 2019. p. 33-37
Keywords [en]
Ambulatory surgery, Follow-up, eHealth
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Surgery
Identifiers
URN: urn:nbn:se:oru:diva-70268DOI: 10.1016/j.ijsu.2018.11.022ISI: 000455016300005PubMedID: 30503602Scopus ID: 2-s2.0-85057781234OAI: oai:DiVA.org:oru-70268DiVA, id: diva2:1265017
Funder
Swedish Research Council, 2015-02273Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Available from: 2018-11-22 Created: 2018-11-22 Last updated: 2019-03-26Bibliographically approved

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Dahlberg, KarunaJaensson, MariaNilsson, Ulrica

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