At-home monitoring after surgery/anaesthesia - a challenge

作者：Warren Stomberg Margareta^*; Jacobsson Jan; Brattwall Metha; Jildenstal Pether

来源：Journal of Evaluation in Clinical Practice, 2016, 22(6): 882-886.

DOI：10.1111/jep.12551

• medical research
• healthcare
• experience

Rationale, aims and objectivesDay surgery is evolving, with a majority of recoveries occurring at home. There is, in parallel, an evolution in telemedical technology. The aim of the present project was to identify patients' willingness to use predefined follow-up techniques and to clinically test preferred techniques at home using a two-step study.?
MethodsIn Part I, a paper-based questionnaire study of identified patients' attitudes with three follow-up techniques was used. In Part II, a feasibility test of a mobile (smart-phone) application for follow-up at home was used.
ResultsPart I showed overall positive attitudes to telemedical follow-ups. Part II showed the preference for a follow-up technique with a mobile application was not fully consistent with the clinical study of the smart-phone app, where there was a large non-response. The application provided safe transfer of data to the hospital and helped make it easy to retrieve and analyse patient self-assessment of recovery. This application is one-way directed, and no feedback to the patient was given, which may have influenced the non-response.
ConclusionBringing telemedicine into follow-up after surgery/anaesthesia is requested, and furthermore, the feasibility study on day surgery presented here shows that it is technically easy to perform and will provide robust information. It should be noted that further studies are needed in order to find better patient cooperation.

• 出版日期2016-12