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一款用于胸外科手术后居家康复管理的智能手机应用程序:使用Care4Today™应用程序的初步研究

A Smartphone App for the Management of Postoperative Home Recovery After Thoracic Surgery Procedures: A Pilot Study Using the Care4Today™ App.

作者信息

Bertoglio Pietro, Garelli Elena, Bonucchi Silvia, Brandolini Jury, Kawamukai Kenji, Antonacci Filippo, Forti Parri Sergio Nicola, Bonfanti Barbara, Lai Giulia, De Leonibus Lisa, Solli Piergiorgio

机构信息

Division of Thoracic Surgery, IRCCS Azienda Ospedaliero Universitaria di Bologna, 40138 Bologna, Italy.

Division of Thoracic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy.

出版信息

J Clin Med. 2024 Dec 23;13(24):7843. doi: 10.3390/jcm13247843.

Abstract

In recent years, the use of smartphones has significantly increased among populations of almost every age. The aim of our work is to analyze the impact of an application (app) that follows up with the progress of a patient who underwent a thoracic surgery procedure in the first 30 days after discharge. We prospectively analyzed all the patients included in the pilot study from March 2023 to September 2023. The Care4Today™ app was downloaded and activated by the patient preoperatively. From the day of discharge, the app sent questions related to pain perception, breathing capacity, general clinical conditions, problems with surgical wound and quality of life. In the case of negative responses, clinical staff received an email with an orange (medium problem) or red (serious problem) alert. Among the 96 patients who were included, 82 eventually downloaded and used the app. The mean age of the patients was 60.7 years (range 19-80), and 43 (52.4%) were female. Minimally invasive techniques (VATS or RATS) were used in 76 cases (92.7%). The mean length of in-hospital stay was 5.3 days. Malignancy was the reason for surgery in 66 cases (80.5%). The answer rate was 75.8%. A total of 698 orange alerts and 52 red alerts were sent by the app. Re-hospitalization was needed in two cases (only one case related to our surgical procedure). The app was globally judged as useful in the management of convalescence (with an average rating of 7.4 out of 10). Age was not related to the completion rate of answers. The use of the app Care4Today could prevent unexpected re-hospitalization and possible complications. The patients appreciated the use of this tool, and they found it useful for safer postoperative recovery. No difference according to the patients' age was found regarding the use of the app.

摘要

近年来,几乎各个年龄段人群中智能手机的使用显著增加。我们这项工作的目的是分析一款应用程序(app)对接受胸外科手术的患者出院后前30天康复进程进行随访的影响。我们前瞻性分析了2023年3月至2023年9月纳入试点研究的所有患者。Care4Today™应用程序由患者在术前下载并激活。从出院当天起,该应用程序发送有关疼痛感知、呼吸能力、一般临床状况、手术伤口问题和生活质量的问题。如果回答为负面,临床工作人员会收到一封带有橙色(中度问题)或红色(严重问题)警报的电子邮件。在纳入的96名患者中,82名最终下载并使用了该应用程序。患者的平均年龄为60.7岁(范围19 - 80岁),43名(52.4%)为女性。76例(92.7%)采用了微创技术(电视辅助胸腔镜手术或机器人辅助胸腔镜手术)。平均住院时间为5.3天。66例(80.5%)手术原因是恶性肿瘤。回答率为75.8%。该应用程序共发送了698次橙色警报和52次红色警报。2例需要再次住院(仅1例与我们的手术操作相关)。总体而言,该应用程序在康复管理方面被认为是有用的(平均评分为7.4分,满分10分)。年龄与回答完成率无关。使用Care4Today应用程序可以预防意外再次住院和可能的并发症。患者对使用该工具表示满意,并且他们发现这对更安全的术后康复很有用。在应用程序的使用方面未发现患者年龄存在差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92b3/11678823/4be241ce460b/jcm-13-07843-g001.jpg

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