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Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients
Jade Qu1, Rabail Zehri2, Joel Dunning3
1Ipswich Hospital, East Suffolk and North Essex NHS Foundation Trust, Ipswich, IP4 5PD, United Kingdom.
WhatsApp groups enhanced care for patients undergoing the Nuss procedure. This instant messaging approach offered effective, responsive support, improving patient satisfaction and reassurance during their perioperative journey.
Area of Science:
- Thoracic Surgery
- Digital Health
- Patient Communication
Background:
- The Nuss procedure for pectus excavatum requires robust perioperative support.
- Text-based communication is increasingly recognized for its value in surgical patient care.
- Enhancing communication can improve patient experience and outcomes.
Purpose of the Study:
- To evaluate the effectiveness of individual WhatsApp groups in strengthening perioperative support for patients undergoing the Nuss procedure.
- To assess patient and clinician engagement with instant messaging for surgical care.
- To determine the impact of this communication method on patient satisfaction and reassurance.
Main Methods:
- Fifty-two WhatsApp groups were established for patients in the RESTORE Trial (August 2024-May 2025).
- Groups included patients, relatives, secretarial, and research staff, facilitating direct clinical communication.
- Conversations were anonymized for analysis, with message content, initiation, and response times recorded.
Main Results:
- Groups averaged 67 messages, with significant patient and family initiation (28% and 20% respectively), often concerning pain management.
- Clinicians responded within a mean of 94 minutes, sharing images related to wound and chest appearance.
- All patients reported satisfaction and willingness to recommend this communication method.
Conclusions:
- Instant messaging via WhatsApp provides an effective, responsive, and low-burden method for enhancing perioperative care in Nuss procedure patients.
- This approach significantly improved patient reassurance and satisfaction.
- Digital communication tools hold promise for optimizing surgical patient support.
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