在中级腹部手术后通过电子健康提供个性化外科护理:多中心,单盲,随机,安慰剂对照试验
Eva van der Meij1, Johannes R Anema2, Wouter K G Leclercq3
1Department of Obstetrics and Gynaecology, VU University Medical Centre, Amsterdam, Netherlands; Department of Public and Occupational Health, Amsterdam Public Health research institute, VU University Medical Centre, Amsterdam, Netherlands.
个性化电子医疗程序显著加快了手术后的恢复,使患者能够比标准护理更快地恢复正常活动. 这种数字健康干预改善了手术后的患者指导和预期管理,
科学领域:
- 数字卫生干预措施
- 手术恢复
- 患者报告的结果
背景情况:
- 术后的患者指导至关重要,但由于住院时间缩短而受到限制.
- 以效率为导向的医疗保健模式需要创新的恢复支持.
- 个性化电子医疗计划提供了改善术后护理的潜在解决方案.
研究的目的:
- 评估个性化电子健康计划对手术后恢复正常活动的时间的影响.
- 比较定制数字干预与通常的术后护理的有效性.
- 评估电子健康在管理患者期望和提供术后指导方面的作用.
主要方法:
- 一个多中心,单盲,随机对照试验,涉及330名接受腹腔镜胆囊切除,修复或附带手术的患者.
- 参与者被随机分配到接受个性化的电子健康计划或使用安慰剂网站的常规护理.
- 主要结局是恢复正常活动的时间,通过患者报告的6个月的结果来衡量.
主要成果:
- 与对照组 (中位数26天) 相比,个性化电子健康组恢复正常活动的时间明显更快 (中位数21天).
- 恢复正常活动的危险比率为1.38 (p=0.007).
- 干预组和对照组之间没有发现并发症率的显著差异.
结论:
- 个性化电子健康干预可以在中级腹部,妇科和整体手术后加速恢复正常活动.
- 这种数字方法为改善术后康复和患者参与提供了宝贵的工具.
- 推实施此类电子健康计划以加强外科患者的护理.
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