Xiao Ryan, Patel Roshan, Rozental Tamara, Schurko Brian, Shoji Monica, Harper Carl
Harvard Medical School, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
J Hand Surg Glob Online. 2025 Jan 27;7(2):203-206. doi: 10.1016/j.jhsg.2024.12.003. eCollection 2025 Mar.
Educational mobile apps have been studied in multiple surgical disciplines, evaluating a wide range of possible benefits with varying success in improving overall quality of life after surgery. We hypothesize that utilization of a mobile health app in the perioperative setting will be easy to use and will improve patient satisfaction with care for patients undergoing hand surgery.
Patients were given access to a mobile app at their initial visit to access content about their diagnosis, treatment options, and care instructions for cubital tunnel syndrome, carpal tunnel syndrome, distal radius fracture, trigger finger, or carpometacarpal arthritis. At their initial visit, patients were administered the Short-Form-12 (SF-12) survey to assess subjects' physical component summary (score-12) and mental component summary (score-12)health score, with higher scores indicating better function and with the United States average score at 50. At their 4-week postoperative visit, the participating patients were administered two surveys: the mHealth App Usability Questionnaire (mAUQ) to address the usability and utility of mobile health care apps and SF-12. The mAUQ comprises 21 items rated from 1 (strongly disagree) to 7 (strongly agree).
Of the 162 patients enrolled, 120 patients completed all survey items. Patients scored the mAUQ an average 6.2 of 7 regarding ease of use, 5.9 of 7 for system information arrangement, and 4.8 of 7 for usefulness. Comparing pre- to postsurgery SF-12 scores at 4 week follow-up, the patients demonstrated stable physical component summary (score-12) and a trend toward slightly worse mental component summary (score-12).
Overall, the patients found the mobile app easy to use, could sufficiently navigate the app, and found the information presented useful to their care. However, the patients did not find improvement in their mental health scores with the app.
已在多个外科领域对教育性移动应用程序进行了研究，评估了一系列可能的益处，在改善术后总体生活质量方面取得了不同程度的成功。我们假设在围手术期使用移动健康应用程序将易于使用，并会提高接受手部手术患者对护理的满意度。
患者在初次就诊时可使用一款移动应用程序，以获取有关其诊断、治疗选择以及肘管综合征、腕管综合征、桡骨远端骨折、扳机指或腕掌关节炎护理指导的内容。在初次就诊时，对患者进行简短健康调查简表（SF-12）评估，以评估受试者的身体成分总结（得分-12）和精神成分总结（得分-12）健康评分，得分越高表明功能越好，美国平均得分为50分。在术后4周复诊时，对参与研究的患者进行两项调查：移动健康应用程序可用性问卷（mAUQ），以评估移动医疗应用程序的可用性和实用性，以及SF-12。mAUQ包含21个项目，评分从1（强烈不同意）到7（强烈同意）。
在162名登记患者中，120名患者完成了所有调查项目。患者对mAUQ的易用性平均评分为6.2（满分7分），系统信息安排评分为5.9（满分7分），有用性评分为4.8（满分7分）。在4周随访时比较术前与术后的SF-12评分，患者的身体成分总结（得分-12）保持稳定，精神成分总结（得分-12）有略微变差的趋势。
总体而言，患者认为移动应用程序易于使用，能够充分操作该应用程序，并认为所提供的信息对其护理有用。然而，患者并未发现使用该应用程序后其心理健康评分有所改善。
