Department of Nursing Science, School of Health and Welfare, Jönköping University, Box 1026, 551 11, Jönköping, Sweden.
Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
BMC Health Serv Res. 2022 Jun 30;22(1):844. doi: 10.1186/s12913-022-08219-4.
In planned major surgery the duration of inpatient hospital care during the last decade has decreased because of a combination of different perioperative interventions. It is expected that patients can manage the needed pre- and postoperative self-care to a large extent on their own. This entails challenges to healthcare system to deliver appropriate information to patients in a safe and efficient manner. The aim of this study was therefore to describe healthcare workers' perceptions of how eHealth applications can support patients' self-care in relation to planned major surgery.
Semi-structured interviews were performed with sixteen healthcare workers from different disciplines. The interviews were transcribed and analysed using the phenomenography approach.
Healthcare workers perceived both positive aspects and challenges with eHealth applications for self-care. eHealth applications can work as an information source, affect patients' understanding of self-care, improve patients' participation in self-care, streamline communication with healthcare professionals and improve patient safety during the pre- and postoperative period. The challenges included perceptions of that eHealth applications may have negative impact on personal interaction in care. eHealth applications may not be useful to all patients because of lack of equipment or knowledge and may increase patients' suffering if physical visits are replaced by digital solutions.
This study improves our understanding of healthcare workers' perceptions of how the use of self-care eHealth applications can support patients in performing pre- and postoperative self-care for major surgery. Access to appropriate and personalized information and instructions can improve patients' understanding of self-care and enhance the participation and safety of those who can afford and handle digital tools. All these aspects must be considered in future digital development of eHealth applications to guarantee a person-centered care.
在计划性大手术中，由于各种围手术期干预措施的综合作用，患者的住院时间在过去十年中有所缩短。预计患者可以在很大程度上自行管理所需的术前和术后自我护理。这给医疗保健系统带来了挑战，需要以安全有效的方式向患者提供适当的信息。因此，本研究旨在描述医疗保健工作者对电子健康应用程序如何支持计划性大手术患者自我护理的看法。
对来自不同学科的 16 名医疗保健工作者进行了半结构化访谈。使用现象学方法对访谈进行转录和分析。
医疗保健工作者认为电子健康应用程序在自我护理方面既有积极的方面，也有挑战。电子健康应用程序可以作为信息来源，影响患者对自我护理的理解，提高患者参与自我护理的程度，简化与医疗保健专业人员的沟通，并提高手术前后的患者安全性。挑战包括认为电子健康应用程序可能对护理中的人际互动产生负面影响的看法。由于缺乏设备或知识，电子健康应用程序可能对所有患者都没有用，并且如果物理访问被数字解决方案取代，可能会增加患者的痛苦。
本研究增进了我们对医疗保健工作者对电子健康应用程序如何支持大手术患者进行术前和术后自我护理的看法的理解。获得适当和个性化的信息和指导可以提高患者对自我护理的理解，并增强那些有能力和能够处理数字工具的人的参与度和安全性。在未来电子健康应用程序的数字化发展中，必须考虑所有这些方面，以保证以患者为中心的护理。
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