通过智能手机应用程序进行退院,以便在托儿所手术后进行随访:一项随机对照试验
Bram Thiel1, Marc Godfried1, Maaike van Emst2
1Department of Anaesthesiology, OLVG Hospital, Amsterdam, the Netherlands.
BJA open
|October 13, 2025
概括
一个智能手机应用程序用于出院后的疼痛和恶心监测并没有改善与标准护理相比,日托医疗手术患者的康复. 这项研究没有发现康复质量或患者满意度的显著差异.
科学领域:
- 数字健康数字健康
- 手术患者护理手术患者护理
- 医疗信息学 医疗信息学
背景情况:
- 托儿所外科手术患者面临的挑战是沟通出院后的疼痛和恶心.
- 有限的沟通选择可能会影响患者的康复和医疗保健提供者的管理.
研究的目的:
- 评估智能手机应用程序在术后疼痛和恶心随访中的有效性.
- 评估数字工具是否可以提高门诊手术患者的标准护理.
主要方法:
- 进行了一项多中心,前性,随机对照试验.
- 患者接受标准护理或标准护理以及智能手机应用程序以实现双向通信.
- 恢复质量-15级是术后第7天的主要结局指标.
主要成果:
- 在智能手机应用组和标准护理组 (P=0.56) 之间没有观察到恢复质量-15分的显著差异.
- 二次结果,包括患者满意度,对护理的信任和报告的并发症,没有显示出临床上显著的差异.
- 在干预组和对照组中,术后的特征在干预组和对照组中都相似.
结论:
- 整合智能手机应用程序来跟踪疼痛和恶心并没有改善患者在日间护理手术中报告的恢复质量.
- 目前的数字健康干预措施可能需要进一步改进,以证明其与传统的术后护理模式相比具有显著的益处.
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