The Effect of Mobile Application Used by Patients

The Effect of a Patient-oriented Mobile Application Used by Laparoscopic Cholecystectomy Patients in the Perioperative Period on Anxiety, Complications, Comfort and Satisfaction.

The aim of this study is to evaluate whether a patient-centered mobile application used during the perioperative period can improve anxiety, complications, comfort, and patient satisfaction compared to standard care.

Study Overview

• Status: Completed
• Conditions: Laparoscopic Cholecystectomy; Nursing Caries; Surgical Patient
• Intervention / Treatment: Other: mobile application

Detailed Description

Surgical intervention is a life-threatening condition. It is known that fear and anxiety experienced throughout the surgical process disrupt homeostatic balance, leading to biological, psychological, and social problems in individuals and prolonging the length of hospital stay.

In surgical cases that typically require a hospital stay of one day or less, when there is insufficient time for proper education and guidance, patients may experience anxiety and difficulties. This can lead to repeated hospital visits and increased costs. Effective and accurate communication between the patient and the nurse can ensure the best implementation of nursing care, help the patient feel safer, reduce anxiety, increase care satisfaction, and lower costs.

Complications frequently arise after hospital discharge. Due to a lack of information regarding recovery expectations, many patients may feel insecure, anxious, and alone.

The use of the internet for health information has significantly increased over the past decade. Mobile medical applications can be a useful tool for improving perioperative patient education and care. Most acute care hospitals provide discharge instructions in the form of a brochure, which is often difficult to follow. A mobile application could serve as an educational and instructional resource for patients throughout the perioperative period. It can provide real-time feedback on patients' adherence to perioperative ERAS elements and demonstrate their ability to aid recovery.

There are very few studies investigating the ability of mobile applications to assist in the recovery of surgical patients. Various studies have shown that complications, pain, anxiety, unexpected primary care visits, hospital readmissions, and rehospitalizations are primarily caused by a lack of information.

The aim of this study is to evaluate whether a patient-centered mobile application used during the perioperative period can improve anxiety, complications, comfort, and patient satisfaction compared to standard care.

• Study Type: Interventional
• Enrollment (Actual): 64
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Eskişehir
    • İnönü, Eskişehir, Turkey (Türkiye), 26670
      • İmren Erer

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

Having a smartphone to install the mobile application No barriers to communication in Turkish Scheduled for surgery Willing to participate in the study Above 18 years of age Sufficient ability to use the mobile application

Exclusion Criteria:

Communication barriers Inability to use the mobile application Unwillingness to participate in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: The effect of a patient-oriented mobile application; Experimental Group: Patients will receive information about the mobile app and install it for free. Preoperative education, pain monitoring, and complication tracking will be conducted via the app. Video consultations will be available for wound care. On surgery day, they will receive standard care. Anxiety will be assessed on postoperative day 1, and daily follow-ups will continue until day 7, when they will complete the Comfort Scale, Patient Satisfaction Questionnaire, and State Anxiety Inventory via the app.	Other: mobile application; The aim is to evaluate whether a patient-centered mobile application with smartphone-based systematic follow-up assessment during the perioperative period can improve surgery-related anxiety, complications, comfort, and patient satisfaction compared to standard care. This thesis will be one of the pioneering studies in this field.; Other Names: standard care
Experimental: standard care; Control Group: Patients will receive standard care. Anxiety will be assessed on day 1. They will be informed about a day 7 follow-up call and provided with VAS pain scales and complication checklists. On day 7, a phone interview will collect responses to the Comfort Scale, Patient Satisfaction Questionnaire, and State Anxiety Inventory, along with hospital readmission details.	Other: mobile application; The aim is to evaluate whether a patient-centered mobile application with smartphone-based systematic follow-up assessment during the perioperative period can improve surgery-related anxiety, complications, comfort, and patient satisfaction compared to standard care. This thesis will be one of the pioneering studies in this field.; Other Names: standard care

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The effect of a patient-oriented mobile application used by laparoscopic cholecystectomy patients in the perioperative period on anxiety, complications, comfort and satisfaction.	To evaluate whether it can improve patients' concerns, complications, comfort, and patient satisfaction regarding surgery.	2 months

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Publications and helpful links

General Publications

• Bertocchi E, B. G. (2023, October 11). iColon, a Patient-focused Mobile Application for Perioperative Care in Colorectal Surgery: Results from 444 Patients. Journal of Telemedicine and Telecare, 11(1). Bertocchi, E., Barugola , G., Gentile, I., Zuppini, T., & Zamperini, M. (2021, November). iColon, a patient-focused mobile application for perioperative care in colorectal surgery: an observational, real-world study protocol. BMJ open, 11(11). Carlier, J. R.-G. (2021). Pain Evaluation after Day-Surgery Using a Mobile Phone Application. Anaesthesia, Critical Care & Pain Medicine, 40(3). Dönmez, E., Dolu, İ., & Yılmaz, Ş. (2022). VALIDITY AND RELIABILITY OF A QUESTIONNAIRE TO MEASURE THE PATIENT SATISFACTION WITH NURSING CARE QUALITY TURKISH VERSION. Asia Pacific Journal of Health Management, 17(2). Jaensson, M. D. (2017). Evaluation of Postoperative Recovery in Day Surgery Patients Using a Mobile Phone Application: a Multicentre Randomized Trial. British Journal of Anaesthesia, 119(5), s. 1030-1038. Ko, Y. H. (2021, March 21). The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery. Geriatric Orthopaedic Surgery & Rehabilitation, 12(2). Li, C. H. (2019). Monitoring of Home Recovery Using the 317-Nursing Mobile Application Following day-case Surgery in Children: Perspectives from both Nurses and Patients. NIH, 98(31). Morte, K., Marenco , C., Lammers, D., Bingham, J., Sohn, V., & Eckert, M. (2021). Utilization of Mobile Application Improves Perioperative Education and Patient Satisfaction in General Surgery Patients. American Journal of Surgery, 221(4), s. 788-792. Noel, W., Bosc, R., Jabbour, S., Keçiçyan, E., Hersant, B., & Meningaud, J.-P. M. (2017). Smartphone-Based Patient Education in Plastic Surgery. Annals of Plastic Surgery, 79(6), s. 529-531. Özyürek, H., & Göktaş, S. (2021). Acil ve Elektif Cerrahide Hastaların Anksiyete Düzeylerinin ve Hemşirelik Bakım Memnuniyetlerinin Değerlendirilmesi. Sağlık Bilimleri Üniversitesi Hemşirelik Dersgisi, 3(2), s. 83-92. Ponder, M. V.-Y. (2021). Mobile Health Application for Patients Undergoing Breast Cancer Surgery: Feasibility Study. JCO Oncology Practice, 17(9). Yeşilot, S. B., Çiftçi, H., & Yener, M. K. (2021). Lokal Anestezi Altında Lipom Eksizyonu Yapılan Bireylerde Stres Küpü ile Dikkati Başka Yöne Çekme Uygulamasının Ağrı ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Deneysel Çalışma. Ege Tıp Dergisi, 60(3), 219-229. Özsoy, F., Yıldız, M., Gülücü, S., & Kulu, M. (2018). Doğum ağrısı ve bazı psikiyatrik özel-likler arasındaki ilişki. KSU Medical Journal, 13(2), 43-47.

Study record dates

Study Major Dates

• Study Start (Actual): April 15, 2025
• Primary Completion (Actual): September 16, 2025
• Study Completion (Actual): May 20, 2026

Study Registration Dates

• First Submitted: March 13, 2025
• First Submitted That Met QC Criteria: March 18, 2025
• First Posted (Actual): March 24, 2025

Study Record Updates

• Last Update Posted (Actual): June 9, 2026
• Last Update Submitted That Met QC Criteria: June 5, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: Laparoscopic cholecystectomy, surgical patient, nursing care
• Additional Relevant MeSH Terms: Health Services Administration; Health Care Quality, Access, and Evaluation; Quality of Health Care; Quality Indicators, Health Care; Standard of Care
• Other Study ID Numbers: Laparoscopic cholecystectomy; imren erer (Registry Identifier: The effect of a mobile application used by patients)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The data of the study will be stored for 5 years.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No