Weill Cornell Medical College, New York, NY, USA.
Department of Urology, Weill Cornell Medicine, New York, NY, USA.
Eur Urol Oncol. 2019 Jul;2(4):425-428. doi: 10.1016/j.euo.2018.08.016. Epub 2018 Sep 10.
A mobile application (app) designed on the basis of a literature review and interviews with urologic oncologists was created to help streamline robot-assisted radical prostatectomy care and in compliance with quality indicators. Use of the app was limited to English-speaking men with iPhones; 20 of 43 men approached (47%) agreed to participate. Lack of an iPhone was the most common reason for non-enrollment (52%). Preoperatively, men received daily push notifications to perform Kegel exercises and 19 men (95%) completed an Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC-CP) questionnaire using the app. After hospital discharge, men completed a postoperative pain questionnaire and received push notifications to ambulate and increase their fluid intake. After catheter removal, daily notifications to perform Kegel exercises and complete weekly EPIC-CP surveys were pushed to monitor recovery of functional outcomes. EPIC-CP and postoperative pain assessment response rates were 75% and 90%, respectively. 85% of the men complied with notifications to ambulate, hydrate, and perform Kegel exercises. The 15 men (75%) who completed the satisfaction survey found the app easy to use and understand, which suggests that mobile apps can be easily implemented perioperatively. Mobile apps have the potential to improve compliance with perioperative instructions and allow more frequent capture of patient-reported outcomes with minimal resource utilization. Patient summary: We examined the use of a mobile application designed to capture patient-reported outcomes and guide postoperative care after major urologic surgery. Mobile apps can be implemented with relative ease and high patient satisfaction.
一个基于文献回顾和采访泌尿科肿瘤学家的移动应用程序(app)被创建,以帮助简化机器人辅助根治性前列腺切除术的护理,并符合质量指标。该应用程序仅限于使用 iPhone 的讲英语的男性;43 名男性中有 20 名(47%)同意参与。未使用 iPhone 是不参加的最常见原因(52%)。术前,男性每天都会收到进行凯格尔运动的推送通知,其中 19 名男性(95%)使用该应用程序完成了《前列腺癌指数综合临床实践问卷》(EPIC-CP)。出院后,男性完成术后疼痛问卷,并收到推送通知以促进活动和增加液体摄入。拔除导尿管后,每天推送通知以进行凯格尔运动并完成每周 EPIC-CP 调查,以监测功能恢复情况。EPIC-CP 和术后疼痛评估的响应率分别为 75%和 90%。85%的男性遵守活动、补水和进行凯格尔运动的通知。完成满意度调查的 15 名男性(75%)认为该应用程序易于使用和理解,这表明移动应用程序可以在围手术期轻松实施。移动应用程序有可能提高对围手术期医嘱的依从性,并允许在最小资源利用的情况下更频繁地获取患者报告的结果。患者总结:我们研究了使用移动应用程序来收集患者报告的结果并指导主要泌尿科手术后的护理。移动应用程序可以相对轻松地实施,并且患者满意度很高。