e-Assessed follow-up of postoperative recovery: developement, evaluation and patient experiences

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e-Assessed follow-up of postoperative recovery : developement, evaluation and patient experiences

Dahlberg, Karuna, 1979- (author): Örebro universitet,Institutionen för hälsovetenskaper

Nilsson, Ulrica, professor, 1960- (thesis advisor): Örebro universitet,Institutionen för hälsovetenskaper

Jaensson, Maria, medicine doktor, 1967- (thesis advisor): Örebro universitet,Institutionen för hälsovetenskaper

Eriksson, Mats, professor, 1959- (thesis advisor): Örebro universitet,Institutionen för hälsovetenskaper

Gunningberg, Lena, professor (opponent): Institutionen för Hälso- och Vårdvetenskap, Uppsala universitet

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(creator_code:org_t)

ISBN 9789175292496
Örebro : Örebro University, 2018
English 97 s.
Series: Örebro Studies in Medicine, 1652-4063 ; 182

Related links:: https://oru.diva-por... (Preview); show more...; https://oru.diva-por...; https://oru.diva-por... (primary) (Raw object); https://oru.diva-por...; https://urn.kb.se/re...; show less...

Doctoral thesis (other academic/artistic)

Abstract Subject headings

The majority of all surgeries are performed as day surgery. After discharge, patients are expected to take responsibility for their postoperative recovery themselves. Recovery Assessment by Phone Points (RAPP) is an e-assessment developed for assessing and providing follow-up on postoperative recovery, which includes the Swedish web-version of the Quality of Recovery questionnaire (SwQoR). It also enables the patient to get in contact with the day surgery unit. The overall aim of this thesis was to further develop and evaluate a systematic follow-up of postoperative recovery using a mobile app in adult persons undergoing day surgery, as well as to describe their experiences of postoperative recovery when using the mobile app. Study I: This study included three steps. Equivalence testing between the paper and app versions of the SwQoR showed agreement (n=69). The feasibility and acceptability evaluation showed that participants (n=63) were positive towards using a mobile phone application during postoperative recovery. Content validity of the SwQoR reduced the original 31 items to 24. Studies II and III: A multicentre, two-group, parallel, single-blind randomized controlled trial including 997 participants was conducted to investigate the effect of e-assessment on postoperative recovery (II) and cost-effectiveness (III) in a RAPP group compared with a control group. The RAPP group reported significantly better quality of postoperative recovery on postoperative days 7 and 14 compared with the control group. Moreover, RAPP may be cost-effective as it provides low-cost care. Study IV: Explored experience of postoperative recovery in participants using a mobile phone app during their postoperative recovery. Qualitative inductive semi-structured interviews (n=18) were performed. Findings showed that feeling safe is important during postoperative recovery. This feeling can be created by patients themselves, but sufficient support and information from health care and next of kin is needed. Overall, this thesis showed positive results for RAPP, suggesting that RAPP is a solution that may benefit patients after day surgery.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)

Keyword

Ambulatory surgery
cost-effectiveness
eHealth
mobile applications
postoperative recovery
qualitative research
randomised controlled trial

Publication and Content Type

vet (subject category)
dok (subject category)

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