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患者使用一款专门用于择期关节置换术后恢复的智能手机应用程序的体验。

Patient experiences with a smartphone application dedicated to postoperative recovery after elective arthroplasty.

作者信息

Gomaa Abdul-Rahman, Raja Momna Sajjad, Monteiro Sara, Srinivasan Sriram, Shyamsundar Srinivasan, Khairandish Hamidreza, Rayan Faizal

机构信息

Trauma & Orthopaedics Department, Kettering General Hospital NHS Foundation Trust, NN16 8UZ, UK.

University of Leicester, University Rd, Leicester LE1 7RH, UK.

出版信息

J Clin Orthop Trauma. 2024 Nov 7;59:102557. doi: 10.1016/j.jcot.2024.102557. eCollection 2024 Dec.

Abstract

INTRODUCTION

In the rapidly evolving landscape of digital health technologies, the widespread use of smartphones has paved the way for innovative applications designed to enhance healthcare experiences. This introduction underscores the global prevalence of smartphone users and their potential in healthcare, particularly exemplified by therapeutic apps such as the 'Post Op' smartphone application. Focused on postoperative support, this app prioritises user-friendly design, data recording, and adherence to national standards. The study aims to evaluate the app's success in achieving these objectives, highlighting its continuous improvement based on real user feedback and its potential impact on improving patient experiences and recovery processes.

METHODS AND MATERIALS

A cohort of elective joint arthroplasty procedure patients at Kettering General Hospital (KGH), spanning a timeframe of one to 12 months post-surgery were surveyed over the telephone regarding their experience of the 'Post Op' smartphone utilising a custom, well-structured standardised questionnaire.

RESULTS

The study surveyed 42 consecutive patients who had undergone elective joint arthroplasty procedures at Kettering General Hospital, including 22 total hip replacement (THR) and 20 total knee replacement (TKR) patients. The respondents, with a median age of 66 years, provided overwhelmingly positive feedback about the 'Post Op' smartphone application. On a scale of 1-6, the mean ease-of-use score was 5.31, with only two THR patients providing lower scores due to difficulties with photography. However, the app's overall functionality, particularly in uploading photos, received a mean score of 4.78. Despite some technical issues, 97.6 % of respondents would recommend the app, emphasising its positive impact on confidence in the recovery and reducing unnecessary healthcare visits. Narrative responses highlighted the app's simplicity, support, and prompt communication with healthcare teams. Overall, the feedback indicates a high level of satisfaction with the 'Post Op' application among elective arthroplasty patients, showcasing its potential benefits for postoperative care.

CONCLUSION

The study provides valuable insights into the impact of the 'Post Op' smartphone application on postoperative care, acknowledging both its successes and areas for enhancement. Further research and iterative improvements are crucial for optimising patient experiences and ensuring the app aligns effectively with healthcare needs.

摘要

引言

在数字健康技术快速发展的背景下,智能手机的广泛使用为旨在改善医疗体验的创新应用铺平了道路。本引言强调了全球智能手机用户的普遍性及其在医疗保健方面的潜力,特别是以 “术后” 智能手机应用程序等治疗性应用为例。该应用专注于术后支持,优先考虑用户友好的设计、数据记录以及符合国家标准。本研究旨在评估该应用在实现这些目标方面的成功程度,突出其基于真实用户反馈的持续改进以及对改善患者体验和康复过程的潜在影响。

方法与材料

对凯特林总医院(KGH)接受择期关节置换手术的一组患者进行了电话调查,调查时间为术后1至12个月,使用定制的、结构良好的标准化问卷询问他们使用 “术后” 智能手机应用的体验。

结果

该研究调查了42名在凯特林总医院接受择期关节置换手术的连续患者,其中包括22名全髋关节置换(THR)患者和20名全膝关节置换(TKR)患者。受访者的中位年龄为66岁,他们对 “术后” 智能手机应用给予了压倒性的积极反馈。在1至6分的评分中,易用性平均得分为5.31,只有两名THR患者因拍照困难给出了较低分数。然而,该应用的整体功能,特别是在上传照片方面,平均得分为4.78。尽管存在一些技术问题,但97.6% 的受访者会推荐该应用,强调其对恢复信心和减少不必要的医疗就诊的积极影响。叙述性回答突出了该应用的简单性、支持性以及与医疗团队的及时沟通。总体而言,反馈表明择期关节置换患者对 “术后” 应用高度满意,展示了其对术后护理的潜在益处。

结论

该研究为 “术后” 智能手机应用对术后护理的影响提供了有价值的见解,既认可了其成功之处,也指出了需要改进的方面。进一步的研究和迭代改进对于优化患者体验以及确保该应用有效地满足医疗保健需求至关重要。

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