Li Canping, Huang Shoujiang, Su Xiaohua, Zhang Tingting, Jiang Kewen
Department of Day Surgery.
Department of Neurology.
Medicine (Baltimore). 2019 Aug;98(31):e16639. doi: 10.1097/MD.0000000000016639.
The number of elective day-case surgeries has considerably increased in recent years, especially in China. Few studies have investigated the ability of mobile applications to assist recovery for patients having undergone day-surgery; however, these studies have indicated that the use of mobile applications is cost-efficient and has a positive effect on recovery after surgery. This study aimed to evaluate the utility and efficacy of using the 317-nursing mobile application program (317NAPP) for monitoring home recovery following day-surgery involving high ligation of the hernial sac in pediatric patients.Prospective clinical study involving 2 parallel groups.Patients were randomly divided into the "intervention 317NAPP group" (n = 64) and the control group (n = 63). Patients were followed-up using the 317NAPP in the intervention group and via telephonic consultations in the control group. All patients were enrolled after being provided sufficient guidance with respect to discharge and health education. The health index, including the physiological function, ability to perform daily activities, and the injury response, was evaluated before and 24 hours after surgery. The time duration of each follow-up session was also evaluated in both groups.The preoperative (T1) health index scores were significantly higher than the postoperative (T0) ones in both groups (P = .00). The quality of recovery (T1-T0) of the intervention group (10.75 ± 5.28) was better than that of the control group (11.78 ± 5.16), but the differences were not significant (P = .27). In the intervention group, the follow-up time duration was significantly lower in comparison to that in the control group (P = .00).This study demonstrated that 317NAPP had a positive effect on recovery following day-surgery, and the time-duration for follow-up was shorter than that performed using telephonic consultation. Monitoring recovery using 317NAPP was safe, efficient, inexpensive, and relatively easy; therefore, it may help improve the recovery of patients having undergone day-surgery.
近年来，择期日间手术的数量大幅增加，尤其是在中国。很少有研究调查移动应用程序对日间手术患者康复的辅助能力；然而，这些研究表明，使用移动应用程序具有成本效益，并且对术后康复有积极影响。本研究旨在评估使用317护理移动应用程序（317NAPP）监测小儿患者疝囊高位结扎术后居家康复的效用和效果。
涉及两个平行组的前瞻性临床研究。患者被随机分为“干预317NAPP组”（n = 64）和对照组（n = 63）。干预组使用317NAPP进行随访，对照组通过电话咨询进行随访。所有患者在获得充分的出院指导和健康教育后入组。在手术前和术后24小时评估健康指数，包括生理功能、日常活动能力和损伤反应。同时还评估了两组每次随访的时间长度。
两组术前（T1）健康指数评分均显著高于术后（T0）（P = .00）。干预组的康复质量（T1 - T0）为10.75 ± 5.28，优于对照组的11.78 ± 5.16，但差异不显著（P = .27）。在干预组中，随访时间长度明显低于对照组（P = .00）。
本研究表明，317NAPP对日间手术后的康复有积极影响，且随访时间比电话咨询短。使用317NAPP监测康复安全、高效、廉价且相对容易；因此，它可能有助于改善日间手术患者的康复情况。
