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Patients' and providers' perspectives on e-health applications designed for self-care in association with surgery - a scoping review
Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science.
Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
Jönköping University, The University Library.ORCID iD: 0000-0003-2621-6080
Jönköping University, School of Health and Welfare.
2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, p. 386-Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Before and after major surgery, access to information in a user-friendly way is a prerequisite for patients to feel confident in taking on the responsibility for their surgical preparation and recovery. Several e-health applications have been developed to support patients perioperatively. The aim of this review was to give an overview of e-health applications designed for self-care associated with surgery by providing a scoping overview of perspectives from providers and patients. METHODS: We searched the following data sources to identify peer-reviewed quantitative and qualitative studies published between 2015 and 2020: CINAHL, Google Scholar, MEDLINE, PsycInfo, Web of Science, and Scopus. After identifying 960 titles, we screened 638 abstracts, of which 72 were screened in full text. Protocol register: https://doi.org/10.17605/OSF.IO/R3QND . RESULTS: We included 15 studies which met our inclusion criteria. Data from several surgical contexts revealed that the most common self-care actions in e-health applications were preoperative preparations and self-assessments of postoperative recovery. Motivational factors for self-care were information, combined with supportive reminders and messages, and chat features. Although there was great variance in research designs and technical solutions, a willingness to engage with and adhere to e-health seemed to increase patients' self-care activities and thereby accelerate return to work and normal activities. In addition, the need for physical visits seemed to decrease. Even though age groups were not primarily studied, the included studies showed that adult patients of any age engaged in surgical self-care supported by e-health. The providers' perspectives were not found. CONCLUSIONS: E-health applications supporting perioperative self-care indicated a positive impact on recovery. However, experiences of healthcare professionals delivering e-health associated with surgery are missing. Additionally, studies based on patients' perspectives regarding willingness, adherence, and motivation for self-care supported by e-health are sparse. A need for studies examining the supporting role of e-health for self-care in the surgical context is therefore needed.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 22, no 1, p. 386-
Keywords [en]
e-health, Patients, Postoperative recovery, Preoperative preparation, Providers, Self-care, Surgery, adult, article, Cinahl, controlled study, female, groups by age, human, male, Medline, motivation, preoperative care, PsycINFO, qualitative research, return to work, Scopus, search engine, self care, self evaluation, systematic review, telehealth, Web of Science
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-56149DOI: 10.1186/s12913-022-07718-8ISI: 000772420400005PubMedID: 35321707Scopus ID: 2-s2.0-85126858168Local ID: GOA;;804947OAI: oai:DiVA.org:hj-56149DiVA, id: diva2:1649327
Available from: 2022-04-04 Created: 2022-04-04 Last updated: 2024-10-15Bibliographically approved

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Wikström, LottaNylander, ElisabethEriksson, Kerstin

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