Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Expert Rev Med Devices. 2022 Jun;19(6):515-523. doi: 10.1080/17434440.2022.2108703. Epub 2022 Aug 18.
Telemonitoring during the perioperative trajectory may improve patient outcomes and self-management. The aim of this study is to assess the feasibility of and patient's experiences with telemonitoring before and after major abdominal surgery to inform future study design.
Patients planned for elective major abdominal surgery wore a sensor and answered well-being questions on a tablet daily for at least 2 weeks preoperatively up to 30-days postoperatively. Feasibility was assessed by participation and completion rate, compliance per day, weekly satisfaction scores, and reasons for nonscheduled contact.
Twenty-three patients were included (participation rate of 54.5%) with a completion rate of 69.6%. Median compliance with the wearable sensor and well-being questions was respectively: 94.7% and 83.3% preoperatively at home; 100% and 66.7% postoperatively in-hospital; and 95.4% and 85.8% postoperatively at home. Median weekly satisfaction scores for both wearing the sensor and well-being questions were 5 (IQR, 4-5). Contact moments were related to absence of sensor data and technological issues (76.0%) or patient discomfort and insecurity (24.0%).
In this study, telemonitoring showed high satisfaction and compliance during the perioperative trajectory. Future trial design regarding the effectiveness of telemonitoring requires embedding in clinical practice and support for patients, relatives, and healthcare personnel.
围手术期的远程监测可能改善患者的预后和自我管理。本研究旨在评估在大腹部手术后进行远程监测的可行性和患者体验，以为未来的研究设计提供信息。
计划接受择期大腹部手术的患者在术前至少 2 周内每天佩戴传感器并在平板电脑上回答幸福感问题，直至术后 30 天。通过参与率和完成率、每日依从性、每周满意度评分和非计划联系的原因来评估可行性。
共纳入 23 例患者（参与率为 54.5%），完成率为 69.6%。在家中术前佩戴可穿戴传感器和回答幸福感问题的中位依从性分别为：94.7%和 83.3%；在医院术后中位依从性分别为：100%和 66.7%；在家中术后中位依从性分别为：95.4%和 85.8%。佩戴传感器和回答幸福感问题的每周满意度评分中位数均为 5（四分位距，4-5）。联系时刻与传感器数据缺失和技术问题（76.0%）或患者不适和不安全（24.0%）有关。
在这项研究中，远程监测在围手术期表现出高满意度和依从性。未来关于远程监测有效性的试验设计需要嵌入临床实践并为患者、家属和医务人员提供支持。
