» Articles » PMID: 39069648

A Smart Device Application for Acute Pain Service in Surgical Patients at a Tertiary Hospital in South Korea: a Prospective Observational Feasibility Study

Overview
Specialty Anesthesiology
Date 2024 Jul 29
PMID 39069648
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Pain assessment and patient education are essential for successful postoperative pain management. However, the provision of personnel for performing these tasks is often insufficient. Recently, attempts have been made to implement smartphone applications for educating and monitoring surgical patients. We developed a smartphone application (app) for postoperative pain management, and conducted a feasibility study.

Methods: This single-center prospective observational study included 60 patients aged < 70 years who underwent elective surgery. This study evaluated the SmartAPS application, which offers tools for postoperative pain assessment and educational materials for pain management. The primary outcome was the active usage rate, defined as responding at least twice daily on postoperative days (PODs) 1 and 2. Additionally, we investigated patient satisfaction with the app and educational videos as well as any challenges encountered during use.

Results: Sixty patients were enrolled in the study and active app use was achieved in 56.7% of them. Response rates peaked at 85.0% for pain intensity and 83.3% for opioid-related side effects at 14:00 on POD 1 but dropped to 56.7% and 58.3%, respectively, at 18:00 on POD 2. Among the patients who responded to the survey regarding the app usage, 84.0% reported satisfaction with the app and 80% found it beneficial for managing postoperative pain. Furthermore, 92.0% did not encounter difficulties using the app, indicating a generally positive user experience.

Conclusions: Our findings support the utility of the SmartAPS application in acute pain services, highlighting its potential for improving postoperative pain management.

References
1.
Bakker J, Goldsack J, Clarke M, Coravos A, Geoghegan C, Godfrey A . A systematic review of feasibility studies promoting the use of mobile technologies in clinical research. NPJ Digit Med. 2019; 2:47. PMC: 6554345. DOI: 10.1038/s41746-019-0125-x. View

2.
Powell A, Davies H, Bannister J, Macrae W . Rhetoric and reality on acute pain services in the UK: a national postal questionnaire survey. Br J Anaesth. 2004; 92(5):689-93. DOI: 10.1093/bja/aeh130. View

3.
Sinatra R . Causes and consequences of inadequate management of acute pain. Pain Med. 2010; 11(12):1859-71. DOI: 10.1111/j.1526-4637.2010.00983.x. View

4.
Lee H, Cho Y, Joo H, Jeon J, Jang Y, Kim J . Comparative study of verbal rating scale and numerical rating scale to assess postoperative pain intensity in the post anesthesia care unit: A prospective observational cohort study. Medicine (Baltimore). 2021; 100(6):e24314. PMC: 10545085. DOI: 10.1097/MD.0000000000024314. View

5.
van Boekel R, Warle M, Nielen R, Vissers K, van der Sande R, Bronkhorst E . Relationship Between Postoperative Pain and Overall 30-Day Complications in a Broad Surgical Population: An Observational Study. Ann Surg. 2017; 269(5):856-865. DOI: 10.1097/SLA.0000000000002583. View