School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
BMC Health Serv Res. 2022 Mar 23;22(1):386. doi: 10.1186/s12913-022-07718-8.
Before and after major surgery, access to information in a user-friendly way is a prerequisite for patients to feel confident in taking on the responsibility for their surgical preparation and recovery. Several e-health applications have been developed to support patients perioperatively. The aim of this review was to give an overview of e-health applications designed for self-care associated with surgery by providing a scoping overview of perspectives from providers and patients.
We searched the following data sources to identify peer-reviewed quantitative and qualitative studies published between 2015 and 2020: CINAHL, Google Scholar, MEDLINE, PsycInfo, Web of Science, and Scopus. After identifying 960 titles, we screened 638 abstracts, of which 72 were screened in full text. Protocol register: https://doi.org/10.17605/OSF.IO/R3QND .
We included 15 studies which met our inclusion criteria. Data from several surgical contexts revealed that the most common self-care actions in e-health applications were preoperative preparations and self-assessments of postoperative recovery. Motivational factors for self-care were information, combined with supportive reminders and messages, and chat features. Although there was great variance in research designs and technical solutions, a willingness to engage with and adhere to e-health seemed to increase patients' self-care activities and thereby accelerate return to work and normal activities. In addition, the need for physical visits seemed to decrease. Even though age groups were not primarily studied, the included studies showed that adult patients of any age engaged in surgical self-care supported by e-health. The providers' perspectives were not found.
E-health applications supporting perioperative self-care indicated a positive impact on recovery. However, experiences of healthcare professionals delivering e-health associated with surgery are missing. Additionally, studies based on patients' perspectives regarding willingness, adherence, and motivation for self-care supported by e-health are sparse. A need for studies examining the supporting role of e-health for self-care in the surgical context is therefore needed.
在大手术前后，以用户友好的方式获取信息是患者对自己承担手术准备和康复责任有信心的前提。已经开发了几种电子健康应用程序来支持患者围手术期的护理。本综述的目的是通过提供来自提供者和患者的观点的概述，概述专为与手术相关的自我护理而设计的电子健康应用程序。
我们搜索了以下数据源，以确定 2015 年至 2020 年期间发表的同行评审的定量和定性研究：CINAHL、Google Scholar、MEDLINE、PsycInfo、Web of Science 和 Scopus。在确定了 960 个标题后，我们筛选了 638 个摘要，其中 72 个进行了全文筛选。方案注册：https://doi.org/10.17605/OSF.IO/R3QND。
我们纳入了符合纳入标准的 15 项研究。来自几个外科环境的数据表明，电子健康应用程序中最常见的自我护理行为是术前准备和术后恢复的自我评估。自我护理的激励因素是信息，结合支持性提醒和消息以及聊天功能。尽管研究设计和技术解决方案存在很大差异，但愿意参与和坚持电子健康似乎会增加患者的自我护理活动，从而加速恢复工作和正常活动。此外，对身体访问的需求似乎减少了。尽管没有主要研究年龄组，但纳入的研究表明，任何年龄段的成年患者都参与了电子健康支持的手术自我护理。没有发现提供者的观点。
支持围手术期自我护理的电子健康应用程序表明对恢复有积极影响。然而，提供电子健康相关手术的医疗保健专业人员的经验却缺失了。此外，基于患者对电子健康支持的自我护理的意愿、坚持和动机的研究也很少。因此，需要研究检查电子健康在手术环境中对自我护理的支持作用。
