About this project
Day surgery is a well-established practice in many European countries and national statistics for Sweden are app.2 million/year. Patients commonly exhibit postoperative symptoms including pain, nausea and vomiting, headache, sore throat, hoarseness, urinary retention, impaired memory, and difficulties in concentration. Even all this discomfort there is a lack of a systematic follow up. We have developed and tested a digital monitoring system, Recovery Assessment by Phone Points (RAPP) including the Swedish web version of Quality of Recovery (SwQoR). RAPP enables patients to report symptoms at home that can be analysed by health care. RAPP has been tested in a multicentre randomised controlled trial on Swedish-speaking patients undergoing day surgery. Results shows that the RAPP is cost-effective and those patients feel safer and suffer from less symptoms in their postoperative recovery process compared to the patients who received routine care i.e. no follow-up. We are on this timeline we have identified the following developing areas to continue working towards our vision to improve the quality of patients postoperative recovery and further develop this person centered digitalized monitoring and follow up tool: 1) evaluate the validity and reliability of the Swedish, Arabic and Somali version of the e-health literacy scale, eHEALS; II) evaluate the validity and reliability of the Somali and Arabic version of SwQoR; III) compare postoperative recovery and un-planned health care contacts between non-Swedish speaking Arabic or Somali patients vs Swedish speaking patients when using RAPP, including SwQoR, and to explore the association between e-health literacy and postoperative recovery and possible between-group differences.
- Josefin Wångdahl, Karolinska Institutet
- Ulrica Nilsson, Karolinska Institutet