UNASSIGNED: This study developed a scenario-based PE web app for lung tumor patients undergoing VATS (SPE-VATS) to facilitate the PE process and evaluated its usability through a clinical trial.
UNASSIGNED: The SPE-VATS provided the experimental group (EG: 32 participants) with interactive scenario, query guidance, diagnostic analysis, experience sharing, and active reminder, while the control group (CG: 32 participants) used pamphlets and videos. The usability of SPE-VATS in terms of postoperative anxiety reduction and patient satisfaction with the app was evaluated using self-reported questionnaires based on the state-trait anxiety inventory, technology acceptance model, system usability scale, and task load index.
UNASSIGNED: There was no statistically significant difference in postoperative anxiety reduction between the EG and CG, possibly because 90% of the participants underwent a low-risk surgical type, and VATS is known to be advantageous in alleviating surgical anxiety. However, females and higher educated EG participants showed a non-significant but favorable reduction than their CG counterparts. Moreover, the EG was highly satisfied with the app (rated 4.2 to 4.4 out of 5.0), with no significant gender and education level difference. They particularly valued the interactive scenario, experience sharing, and diagnostic analysis features of SPE-VATS.
UNASSIGNED: The SPE-VATS demonstrated its usability and high patient satisfaction, particularly for female and higher educated patients. Low-risk patient predominance and VATS\'s advantages may explain non-significant postoperative anxiety reduction, warranting further studies on high-risk patients to evaluate the impact of SPE-VATS on clinical practice.
■这项研究为接受VATS(SPE-VATS)的肺肿瘤患者开发了基于场景的PE网络应用程序,以促进PE过程,并通过临床试验评估其可用性。
■SPE-VATS为实验组(EG:32名参与者)提供了交互式场景,查询指导,诊断分析,经验分享,和主动提醒,而对照组(CG:32名参与者)使用小册子和视频。SPE-VATS在术后焦虑减少和患者对应用程序的满意度方面的可用性使用基于状态-特质焦虑清单的自我报告问卷进行评估,技术验收模型,系统可用性量表,和任务负载索引。
■EG和CG在术后焦虑减轻方面无统计学差异,可能是因为90%的参与者接受了低风险的手术类型,和VATS已知在缓解手术焦虑方面是有利的。然而,女性和受教育程度较高的EG参与者表现出与CG相比无显著但有利的降低。此外,EG对该应用程序非常满意(5.0中的4.2至4.4),性别和受教育程度无显著差异。他们特别重视互动场景,经验分享,和SPE-VATS的诊断分析特点。
■SPE-VATS展示了其可用性和高患者满意度,特别是女性和受过高等教育的患者。低危患者优势和VATS的优势可能解释了术后焦虑减轻的非显著性,保证对高危患者的进一步研究,以评估SPE-VATS对临床实践的影响。