Patient-centred perioperative mobile application in Cesarean delivery: needs assessment and development

Ke, Janny Xue Chen; George, Ronald B.; Wozney, Lori; Chorney, Jill

doi:10.1007/s12630-019-01392-x

Cited by 9 publications

(5 citation statements)

References 9 publications

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“…Although the incidence of POI was reduced from 5.38% before to 1.67% after the intervention, as shown in the tables, both incidence rates were much higher for POI than in other research [ 20 – 23 ], which always had strict exclusion criteria, such as emergency operation, scarred uterus and other conditions that might influence gastrointestinal motility. In this study, the percentage of emergency operations was 47.35%, the scarred uterus complication was 45.85%, the duration of operation was 1.31 ± 0.63 h, and the blood loss was 382–714 ml (exceeding 500 ml was 74.78%) before the intervention, as shown in Table 2 .…”

Section: Discussionmentioning

confidence: 56%

“…In the present study, a shortened duration of indwelling drainage tube/catheter placement shortened the time to the patient's first ambulation and the hospital stay. After surgery, early mobilization and early ambulation are facilitated in most patients after the drainage tube is removed [ 22 , 23 ]. Another study also found that complications of postoperative infection and POI tended to be higher in the drainage group than in the no-drainage group [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…After surgery, early mobilization and early ambulation are facilitated in most patients after the drainage tube is removed [ 22 , 23 ]. Another study also found that complications of postoperative infection and POI tended to be higher in the drainage group than in the no-drainage group [ 23 ]. Abdominal drainage was first performed in abdominal surgery by Chassaignac in 1859 [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

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Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study

et al. 2022

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Background Patients should be encouraged to mobilize with 24 h of caesarean section. However, the time of the first off-bed activity after surgery is usually 24 ~ 48 h in China. Due to the lack of knowledge of early off-bed activities, lack of attention to medical pain, and the absence of systematic evidence for the clinical transformation process. the aim of this study was showed that the application of evidence needs to be embedding in the real setting to construct the localization plan and achieve the effective result. Methods To establish evidence of the benefits of early postoperative off-bed activities on patients’ well-being based on a literature review. An interrupted time series analysis was used to evaluate the effectiveness of the intervention. The first and third periods were both five months (from February 1st, 2019 to January 31st, 2020), with a two-month interrupted time (from July 1st, 2019 to August 31st, 2019). Results Eight clinical practices were retrieved from the literature and incorporated into the intervention. A total of 465 patients were included: 226 patients before and 239 patients after implementing the intervention. The average onset time of postoperative off-bed activities was significantly earlier after the intervention than before the intervention (20.01 vs. 31.89 h after the operation, P < 0.001). The 24-h off-bed rate increased from 30.94% before to 91.21% after the intervention (P < 0.001). The average pain score of patients decreased from 5.23 points before to 3.82 points after the intervention (P = 0.032). The average postoperative hospital stay was shortened from 5.06 days before to 3.51 days after the intervention (P < 0.001). In addition, the incidence rates of postoperative ileus (POI) and infection decreased from 5.38% and 2.65% before to 1.67% and 0.84% after the intervention, respectively (P < 0.001). Conclusions We established an evidence-based nursing intervention. Evaluation of the effect of evidence-based practices should be considered in the clinical setting and include preoperative health education, effective analgesia management, and safety management.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study

et al. 2022

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“…Mobile apps can also provide a platform for multidisciplinary care in the postcesarean section period. For example, in a feasibility study including 15 patients of an app designed with obstetric anesthesiologists, 80% of patients used the app at least twice to self-monitor for complications and access pain control resources, thus increasing the amount of patient monitoring for common postcesarean complications and pain [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Mobile Applications in Clinical and Perioperative Care for Anesthesia: Narrative Review

Pan¹,

Rong²

2021

J Med Internet Res

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Background The increasing use of smartphones by providers and patients alike demonstrates that digital health utilizing mobile applications has the potential to transform perioperative care and education in anesthesia. Objective This literature review describes the current scope of the use of mobile applications in anesthesiology. Methods Literature was searched using PubMed, Scopus, and clinicaltrials.gov for articles published from January 1, 2010, through April 1, 2020. Only English language studies were included. Articles were included if they examined the use of a mobile health application in the setting of anesthesia or the perioperative (immediate preoperative, intraoperative, and postoperative) period. Studies were excluded if they explored video interventions or did not examine the feasibility or efficacy of the mobile app. Results We included 29 articles, and three areas of clinical functionality were identified: patient-centered care (preoperative, intraoperative, and postoperative), systems-based improvement, and medical education. Several studies demonstrate the feasibility and reliability of mobile apps in these areas, but many are only tested for efficacy in simulated environments or with small patient samples Conclusions Mobile health applications show promise in improving communication between anesthesiologists, improving workflow efficiency, enhancing medical education, and reducing hospital costs. However, there is a need for validation and improvement before full implementation by the provider, patients, and hospital systems. Future studies are needed to demonstrate meaningful health outcomes to create guidelines and recommendations specific to the application of mobile technology to health care.

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“…It has become more common for inpatients to use eHealth or mHealth educational services. For instance, pregnant women undergoing a cesarean section were in favor of adding mobile applications to their perioperative management [25]. Furthermore, patients tend to engage in their care and to optimize their hospital experience through use of their mobile devices [26].…”

Section: Discussionmentioning

confidence: 99%

Mobile Web-based Education: Engagement and Satisfaction with HiChart among Pregnant Women

Kim¹,

Kang²

2019

Child Health Nurs Res

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This study aimed to examine engagement and satisfaction with a mobile web-based education program (HiChart) among pregnant women. Methods: A cross-sectional descriptive study was conducted of 97 pregnant women hospitalized for obstetric care. Data were collected from October 1 to November 30, 2016, and were analyzed with descriptive statistics. Results: Among participants, 16.5% engaged fully with HiChart, while 43.3% engaged partially. The overall satisfaction with HiChart was high. Some main reasons for not engaging with the education were participants' unawareness of the text messages, lack of time, and poor internet connection. The participants suggested that more educational content needed to be covered, such as coping with infant emergencies and information about the neonatal intensive care unit. Conclusion: To increase pregnant women's engagement with mobile web-based education, efforts are needed to strengthen the system of sending text messages as part of mobile web-based education to all patients, to inform pregnant women that an educational web link was sent, and to encourage them to engage with mobile web-based education. Furthermore, it is essential to improve the HiChart service by providing educational content corresponding to users' needs.

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Patient-centred perioperative mobile application in Cesarean delivery: needs assessment and development

Cited by 9 publications

References 9 publications

Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study

Embedding evidence of early postoperative off-bed activities and rehabilitation in a real clinical setting in China: an interrupted time-series study

Mobile Applications in Clinical and Perioperative Care for Anesthesia: Narrative Review

Mobile Web-based Education: Engagement and Satisfaction with HiChart among Pregnant Women

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