Implementation of a perioperative care App in elective thoracic surgery

• Published in: Cirugia española (English ed.) 2023-04, Vol.101 (4), p.265-273
• Main Authors: Fraile Olivero, Carlos A., Jarabo Sarceda, José R., Fernández Martín, Elena, Santos Capa, Passio, Arribas Manzanal, Pedro D., Gómez Martínez, Ana M., Calatayud Gastardi, Joaquín, Hernando Trancho, Florentino
• Format: Article
• Language: English
• Subjects: Aged; Aplicación móvil; Breathing exercises; Complicaciones postoperatorias; Cuidados perioperatorios; Ejercicio preoperatorio; Ejercicios respiratorios; Encuestas y cuestionarios; Female; Humans; Male; Middle Aged; Mobile Applications; Perioperative care; Perioperative Care - methods; Postoperative complications; Preoperative exercise; Prospective Studies; Surveys and Questionnaires; Thoracic Surgery
• ISSN: 2173-5077; 2173-5077
• DOI: 10.1016/j.cireng.2022.09.022

[Display omitted] The design and implementation inconsistency of perioperative care programs limits their universalization, and it is where e-Health can standardize these processes. The objective of the study is to create a Smartphone App with a perioperative care program, implement it in a group of patients scheduled for a thoracic surgical procedure, and evaluates its use. A prospective and descriptive study. We created a Smartphone app (Fissios App) which contains 40 perioperative recommendations and 10 chest physical exercises. Patients were recommended to use it before and after surgery; to measure its use, we created and applied a questionnaire. A descriptive analysis of patient variables and questionnaire responses was performed and their association evaluated. One hundred four patients were included, 60.3% were men with a median age of 62 years (51–71), and 26.72% had completed high school. The 89.3% of patients highlighted the ease of downloading and setting up the app. More than 90% of patients positively assessed clarity in explaining chest physical exercises and perioperative recommendations. One hundred four (79.4%) patients highlighted the contribution of the use of the app during the preoperative period to face the postoperative period. We created a Smartphone app (Fissios App) with a perioperative care program and it was successfully implemented regardless of the age or educational level of patients. The tool clearly explains the information contained and the patients reported that its use before surgery helped them to face the postoperative period, with an appropriate level of physical demand and time of use. La inconsistencia en el diseño e implementación de los programas de cuidados perioperatorios limita su universalización, y es aquí donde las tecnologías en salud pueden estandarizar estos procesos. El objetivo del estudio es crear una app para smartphone con un programa de cuidados perioperatorios, implementarla en un grupo de pacientes programados para un procedimiento quirúrgico torácico y evaluar su utilización. Estudio prospectivo y descriptivo. Se creó una app (Fissios App) que contiene 40 recomendaciones perioperatorias y un programa de 10 ejercicios de fisioterapia respiratoria. A los pacientes se les recomendó utilizarla antes y después de la cirugía; para medir su utilización se creó y se aplicó un cuestionario. Se realizó un análisis descriptivo de las variables de los pacientes, las respuestas del cuestionario y se evaluó s