Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
IQ healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.
Colorectal Dis. 2023 Jun;25(6):1228-1237. doi: 10.1111/codi.16541. Epub 2023 Mar 28.
Guidance throughout the entire process of ostomy surgery is warranted to improve self-management and reduce healthcare consumption. The aim of this study was to develop an interactive application to educate patients scheduled for ostomy surgery and to evaluate patient satisfaction and implementation.
A literature study and a cross-sectional study among patients and nurses was performed to evaluate the relevance of different topics (e.g., ostomy materials, self-care, complications, impact) for an interactive application in ostomy surgery. The interactive application, StoManager, was developed in collaboration with patients and healthcare providers. The implementation of the application was evaluated among 30 patients scheduled for ostomy surgery to investigate usability, patient satisfaction, compliance, the need for home nursing care services, and the number of contact moments with the ostomy nurse.
StoManager contained all topics considered relevant by patients and healthcare providers, including information on ostomy surgery, ostomy self-care and ostomy-related complications. Patient-reported outcome measures were incorporated to monitor the patient's health status during treatment. The usability scores of StoManager were above average. Patients rated StoManager with an overall score of 7.5 (SD 1.5) out of 10. The response rate to the patient-reported outcome measures was 79.3%. At discharge, 28/30 (93.3%) patients did not need home nursing care services for ostomy care.
An interactive application to support patients throughout the entire process of ostomy surgery is feasible. Patients were satisfied with StoManager and its usability, which might result in improved self-management and decreased healthcare consumption. A more patient-specific approach could further improve the perceived quality and value of the application.
为了提高自我管理能力并减少医疗保健的消耗，需要在造口手术的整个过程中为患者提供指导。本研究旨在开发一种互动应用程序，以教育计划接受造口手术的患者，并评估患者的满意度和应用效果。
通过文献研究和患者与护士的横断面研究，评估了不同主题（例如造口材料、自我护理、并发症、影响）对造口手术中交互式应用程序的相关性。与患者和医疗保健提供者合作开发了互动应用程序 StoManager。在 30 名计划接受造口手术的患者中评估了该应用程序的实施情况，以调查可用性、患者满意度、依从性、对家庭护理服务的需求以及与造口护士的接触次数。
StoManager 包含了患者和医疗保健提供者认为相关的所有主题，包括造口手术、造口自我护理和造口相关并发症的信息。纳入患者报告的结果测量指标以监测治疗期间患者的健康状况。StoManager 的可用性评分高于平均水平。患者对 StoManager 的总体评分为 7.5（SD 1.5）分（满分 10 分）。患者报告的结果测量指标的回复率为 79.3%。出院时，30 名患者中的 28 名（93.3%）不需要家庭护理服务来进行造口护理。
支持患者在整个造口手术过程中的互动应用程序是可行的。患者对 StoManager 的可用性和满意度都很高，这可能会导致自我管理能力的提高和医疗保健消耗的减少。更具患者特异性的方法可能会进一步提高应用程序的质量和价值感知。
