使用智能手机应用程序和远程指导改善身体活动及蛋白质摄入量以促进肿瘤手术后恢复的患者体验良好：一项多方法研究。

Promising patient experiences with a smartphone app and remote coaching for improving physical activity and protein intake to enhance recovery after oncological surgery: a multi-methods study.

作者信息

van Westerhuis C, de Leeuwerk M E, van der Werf E W J, Kruizenga H M, de Groot V, Geleijn E, der Leeden M van, van der Schaaf M

机构信息

School of Physiotherapy, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.

Amsterdam Movement Sciences, Ageing & Vitality, Amsterdam, The Netherlands.

出版信息

Support Care Cancer. 2025 Jun 19;33(7):597. doi: 10.1007/s00520-025-09641-0.

DOI:10.1007/s00520-025-09641-0

PMID:40536595

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12178970/

Abstract

PURPOSE

The Optimal Physical Recovery After Hospitalization (OPRAH) Intervention is a blended intervention, combining a smartphone app for self-monitoring of physical activity and protein intake with coaching from a physiotherapist and dietician, to enhance the functional recovery after gastro-intestinal or lung cancer surgery. The aim was to evaluate patients' experiences with the OPRAH intervention.

METHODS

This study used a multi-method approach, incorporating semi-structured interviews and an online questionnaire. The questionnaire included the System Usability Scale (SUS) to evaluate the smartphone app. Sixty-eight patients were invited to complete the online survey, 58 providing responses. Purposeful sampling guided the selection of participants for interviews (n = 24), which focused on experiences with the application, activity tracker, and remote coaching. The interview data were analyzed qualitatively using an inductive thematic approach.

RESULTS

The app was rated with an excellent usability (mean ± SD SUS of 86.2 ± 12.0) and 97% of the patients would recommend the intervention to others. Patients reported that the intervention enhanced their understanding of their recovery process, motivated them to achieve protein and physical activity goals, and contributed to their overall recovery. The combination of app usage and monitoring by a physiotherapist and dietician fostered a sense of being supported. However, patients suggested that the intervention could be improved by further tailoring it to individual needs, detailing the nutritional component of the app, and redesigning the activity tracker bracelet.

CONCLUSIONS

The OPRAH intervention demonstrated excellent system usability and predominantly positive experiences. Incorporating patient recommendations could further support its integration into regular healthcare.

摘要

目的

住院后最佳身体恢复（OPRAH）干预是一种综合干预措施，将用于自我监测身体活动和蛋白质摄入量的智能手机应用程序与物理治疗师和营养师的指导相结合，以促进胃肠道或肺癌手术后的功能恢复。目的是评估患者对OPRAH干预的体验。

方法

本研究采用多方法 approach，包括半结构化访谈和在线问卷。问卷包括系统可用性量表（SUS）以评估智能手机应用程序。邀请68名患者完成在线调查，58名提供了回复。有目的抽样指导了访谈参与者的选择（n = 24），访谈重点是对应用程序、活动追踪器和远程指导的体验。使用归纳主题方法对访谈数据进行定性分析。

结果

该应用程序的可用性被评为优秀（平均±标准差SUS为86.2±12.0），97%的患者会向他人推荐该干预措施。患者报告说，该干预措施增强了他们对恢复过程的理解，激励他们实现蛋白质和身体活动目标，并有助于他们的整体恢复。应用程序的使用与物理治疗师和营养师的监测相结合，营造了一种得到支持的感觉。然而，患者建议可以通过进一步根据个人需求进行调整、详细说明应用程序的营养成分以及重新设计活动追踪器手环来改进该干预措施。