Effect of SMS Reminder Use on Postoperative Breathing and Coughing Exercise Compliance: Randomized Controlled Trial

Öz

Objective: The success of protocols is related to patient compliance. SMS-based interventions increase compliance with protocols in surgical patients and improving patients' clinical participation and satisfaction. The purpose of this randomized controlled trial study was to assess the impact of SMS use on patient satisfaction and adherence to postoperative breathing and coughing exercises in patients undergoing pulmonary lobectomy. Method: The study included 62 patients who had lobectomies in the thoracic surgery clinic of a university hospital between February 1, 2022, and April 3, 2023. The intervention group was selected as the group that received SMSs. Results: It was determined that mean number of respiratory exercises on the 4th postoperative day was statiscally significantly higher in the SMS group than in the control group. Similarly, it was determined that the mean number of cough exercises on the 4th postoperative day was significantly higher in the SMS group than the control group. Pain scores were lower in the SMS group than the control group on the fourth postoperative day. In the SMS group, 87.1% of the patients stated that SMS provided an incentive to exercise. The vast majority of patients (87.1%) stated that they were "very satisfied" or "satisfied" with receiving reminder SMS. Conclusion: The use of SMS increased the adherence of patients following pulmonary lobectomy to postoperative breathing and cough exercises. The majority of patients enjoyed receiving SMS messages, which was discovered to be an incentive for exercising regularly. The study was registered with ClinicalTrials.gov (NCT05915221).

Anahtar Kelimeler

• breathing exercises
• cancer
• short message service
• surgery

SMS Hatırlatıcı Kullanımının Ameliyat Sonrası Solunum ve Öksürme Egzersiz Uyumuna Etkisi: Randomize Kontrollü Çalışma

Öz

Amaç: Protokollerin başarısı hasta uyumu ile ilişkilidir. SMS tabanlı müdahaleler cerrahi hastalarında protokollere uyumu artırmakta ve hastaların klinik katılımını ve memnuniyetini iyileştirmektedir. Bu randomize kontrollü çalışma, akciğer kanseri cerrahisi için pulmoner lobektomi geçiren hastalarda SMS kullanımının ameliyat sonrası solunum ve öksürük egzersizlerine uyum ve hasta memnuniyeti üzerindeki etkisini değerlendirmeyi amaçlamıştır. Yöntem: Çalışmaya bir üniversite hastanesinin göğüs cerrahisi kliniğinde 01.02.2022 ile 03.04.2023 tarihleri arasında lobektomi yapılan 62 hasta dahil edildi. Müdahale grubu SMS mesajı alan grup olarak seçilmiştir. Bulgular: Ameliyat sonrası dördüncü günde ortalama solunum egzersizi sayısının SMS grubunda kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha yüksek olduğu belirlendi. Benzer şekilde, ameliyat sonrası dördüncü günde ortalama öksürük egzersizi sayısının SMS grubunda kontrol grubuna göre anlamlı olarak daha yüksek olduğu tespit edildi. Ameliyat sonrası dördüncü günde ağrı skorları SMS grubunda kontrol grubuna göre daha düşüktü. SMS grubunda hastaların %87,1'i SMS'in egzersiz yapmak için teşvik edici olduğunu belirtmiştir. Hastaların büyük çoğunluğu (%87,1) hatırlatma SMS'leri almaktan "çok memnun" veya "memnun" olduklarını belirtmiştir. Sonuç: SMS kullanımı pulmoner lobektomi sonrası hastaların ameliyat sonrası solunum ve öksürük egzersizlerine uyumunu artırmıştır. Hastaların çoğunluğunun SMS mesajları almaktan hoşlandığı ve bunun düzenli egzersiz yapmak için teşvik edici olduğu belirlenmiştir. Çalışma ClinicalTrials.gov'a (NCT05915221) kaydedilmiştir.

Anahtar Kelimeler

• solunum egzersizleri
• kanser
• cerrahi
• kısa mesaj servisi

Kaynakça

1. Lederman D, Easwar J, Feldman J, Shapiro V. Anesthetic considerations for lung resection: Preoperative assessment, intraoperative challenges and postoperative analgesia. Ann Transl Med 2019;7(15):356. https://doi.org/10.21037/atm.2019.03.67
2. Saraswat V. Effects of anaesthesia techniques and drugs on pulmonary function. Indian J Anaesth 2015;59(9):557-64. https://doi.org/10.4103/0019-5049.165850
3. Andersen KS, Skoffer B, Oestergaard LG, Van Tulder M, Petersen AK. The effects of respiratory physiotherapy after lung resection: Protocol for a systematic review. Int J Surg Protoc 2017;4:1-5. https://doi.org/ 10.1016/j.isjp.2017.03.001
4. Lu Y, Yuan Z, Han Y, Zhang Y, Xu R. Summary of best evidence for enhanced recovery after surgery for patients undergoing lung cancer operations. Asia Pac J Oncol Nurs 2022;9(7):100054. https://doi.org/10.1016/j.apjon.2022.03.006
5. Ghio M, Simpson JT, Wolff D, Galvani C, Levy S. Tulane STAR (Sending Texts, Advancing Results): impact of text messaging on bariatric post-operative protocol compliance. Surg Endosc 2022;36(10):7511-5. https://doi.org/ 10.1007/s00464-022-09183-0
6. Nelson G. Nursing role central to successful implementation of enhanced recovery after surgery. Asia Pac J Oncol Nurs 2022;9(7):100112. https://doi.org/10.1016/j.apjon.2022.100112
7. Newton L, Sulman C. Use of text messaging to improve patient experience and communication with pediatric tonsillectomy patients. Int J Pediatr Otorhinolaryngol 2018;113:213-7. https://doi.org/10.1016/j.ijporl.2018.07.048
8. Tan EH, Wong ALA, Tan CC, Wong P, Tan SH, Ang LEY, et al. Improving medication adherence with adjuvant aromatase inhibitor in women with breast cancer: A randomised controlled trial to evaluate the effect of short message service (SMS) reminder. Breast 2020;53:77-84. https://doi.org/10.1016/j.breast.2020.06.012

9. Peuchot J, Allard E, Dureueeil B, Veber B, Compere V. JMIR mhealth uhealth 2020;8(9):e14346. https://doi.org/10.2196/14346 (preprint)
10. Garnier F, Sciard D, Marchand-Maillet F, et al. Clinical interest and economic impact of preoperative SMS reminders before ambulatory surgery: A propensity score analysis. J Med Syst 2018;42:150.
11. Campbell KJ, Louie PK, Bohl DD, et al.: A novel, automated text-messaging system is effective in patients undergoing total joint arthroplasty. J Bone Joint Surg Am 2019;101:145-51.
12. Ghio M, Vallès K, Aly S, Simpson JT, Guidry C, et al. I text for I COUGH: A clinical pilot study to evaluate the impact of text messaging upon postoperative ambulation in the hospital. Am J Surg 2022;223(2):360-3. https://doi.org/10.1016/j.amjsurg.2021.04.006
13. Kneuertz PJ, Jagadesh N, Perkins A, Fitzgerald M, Moffatt-Bruce, SD, Merritt RE. Improving patient engagement, adherence, and satisfaction in lung cancer surgery with implementation of a mobile device platform for patient reported outcomes. J Thorac Dis 2020;12(11):6883-91. https://doi.org/10.21037/jtd.2020.01.23
14. Eltorai AEM, Baird GL, Eltorai AS, Healey T, Agarwal S, Ventetuolo C, et al. Effect of an incentive spirometer patient reminder after coronary artery bypass grafting: A randomized clinical Trial. JAMA Surg 2019;154(7):579-88. https://doi.org/ 10.1001/jamasurg.2019.0520
15. Gu Y, Wang L, Zhao L, Liu Z, Tao Q, Zhang R, et al. Effect of mobile phone reminder messages on adherence of stent removal or exchange in patients with benign pancreaticobiliary diseases: a prospectively randomized, controlled study. BMC Gastroenterol 2016;16(1):105.
16. Campbell KJ, Louie PK, Bohl DD, Edminson, T, Mikhail C, Li J, et al. A novel, automated text-messaging system is effective in patients undergoing total joint arthroplasty. J Bone Joint Surg Am 2019;101(2):145-51. https://doi.org/ 10.2106/JBJS.17.01505
17. Asmaa AHM, Baghdad HM, Sabah AA. Using the deep breathing technique to decrease pain intensity during wound care for burned patients. Afr J Nurs Midwifery 2022;5(2):17-32. https://doi.org/10.52589/AJHNM-0QYUI2RM
18. Mekdad AK, Ali ZH, El Bana TS. The effect of nursing intervention on the reduction of pulmonary complications after thoracotomy. Helwan International Journal for Nursing Research and Practice 2022;1(1):144-59. https://hijnrp.journals.ekb.eg/
19. Day MA, Anthony CA, Bedard NA, Glass, N, Clark, C, Callaghan J, et al. Increasing perioperative communication with automated mobile phone messaging in total joint arthroplasty. J Arthroplasty 2018;33(1):19–24. https://doi.org/10.1016/j.arth.2017.08.046
20. Buck C, Keweloh C, Bouras A, Simoes EJ. Efficacy of short message service text messaging interventions for postoperative pain management: Systematic review. JMIR Mhealth Uhealth 2021;9(6):e20199. https://doi.org/10.2196/20199
21. Hallet CO, Lois FJ, Warner DO, Jastrowicz, JA, Joris JL, Brichant JF. Short message service as a tool to improve perioperative follow-up of surgical outpatients: A before-after study. Anaesth Crit Care Pain Med 2020;39(6):799-805. https://doi.org/10.1016/j.accpm.2020.02.007