日间护理手术后使用智能手机应用程序进行随访：一项随机对照试验

BJA open Pub Date : 2025-09-25 DOI:10.1016/j.bjao.2025.100489

Bram Thiel , Marc Godfried , Maaike van Emst , Lisette Vernooij , Liesbeth van Vliet , Eva Rumke , Marc Snoeck , Seppe Koopman , Cor Kalkman

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引用次数: 0

摘要

背景：日间护理手术患者在出院后与医疗保健提供者沟通疼痛或恶心的选择有限。本研究评估了智能手机应用程序对疼痛和恶心随访的有效性，作为标准护理的增强。方法采用多中心非盲法前瞻性随机对照试验，纳入日托手术患者。干预组使用具有双向信息的智能手机应用程序和术后随访的标准护理。对照组接受标准治疗。在术后第7天用恢复质量-15量表测量主要结局。次要终点包括术后第1天和第4天的恢复质量、对护理的满意度、对医院护理的信任以及患者关于恢复和并发症的评论。结果在301例纳入的患者中，149例随机分配到智能手机应用程序，152例分配到标准治疗。两组围手术期特征具有可比性。术后第7天，恢复质量无差异，中位差为0.0（95%可信区间：−10.0 ~ 7.0；P=0.56）。满意度、信任度和推荐医院的评分在临床上没有显著差异。结论：我们发现通过智能手机应用程序增加术后疼痛和恶心随访与单独标准护理相比，日托手术患者报告的恢复质量没有差异。临床试验注册号：nct05244772

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Discharge with a smartphone application for follow-up after day care surgery: a randomised controlled trial

Background

Day care surgery patients have limited options to communicate pain or nausea to their healthcare providers after discharge. This study evaluated the effectiveness of a smartphone application for pain and nausea follow-up as an enhancement to standard care.

Methods

We performed a multi center non-blinded prospective randomised controlled trial including day care surgery patients. The intervention group received a smartphone application with bidirectional messaging and standard care for postoperative follow-up. The control group received standard care. The primary outcome was measured with the Quality of Recovery-15 scale on the seventh postoperative day. Secondary endpoints included quality of recovery at postoperative day 1 and 4, satisfaction with care, trust in hospital care, and patient remarks concerning recovery and complications.

Results

Out of 301 included patients, 149 were randomly assigned to the smartphone application and 152 to standard care. Perioperative characteristics were comparable between the groups. On postoperative day 7, no difference was observed in quality of recovery, with median difference 0.0 (95% confidence interval: −10.0 to 7.0; P=0.56). Ratings of satisfaction, trust, and to recommend the hospital showed no clinically important differences.

Conclusions

We found no differences in patient-reported quality of recovery for day care surgical patients when adding postoperative follow-up of pain and nausea via a smartphone application compared with standard care alone.