| Objectives: The present study,by describing the current status and potential correlation between the information reception and anxiety level of patients undergoing breast day surgery,combined with the results of a survey investigating the demand for wholecourse mobile information support,aimed to construct a platform for whole-course mobile information support using business process reengineering theory and "ESIA analysis method" and to validate its impact on information reception and anxiety level of patients undergoing breast day surgery.Methods: 1.A mixed methods research was performed to describe the current status and potential correlation between the information reception and anxiety level of patients undergoing breast day surgery using the quality of life questionnaire-information 25(QLQ-INFO25)and the Amsterdam Preoperative Anxiety and Information Scale(APAIS).A qualitative study was then performed to further explore the internal correlation of patient anxiety and information support,thus to supplement the quantitative research results.2.A self-made "Breast Day Surgery Whole-course Mobile Information Support Requirement Questionnaire" was used to evaluate the demand for the whole-course mobile information support.The modules and functions of the wholecourse mobile information support were demonstrated via expert consultation method and then a "Whole-course Information Support for Breast Day Surgery" We Chat public account was established.3.A quasi-experimental study was performed to evaluate the effect of whole-course mobile information support on information reception and psychological state of patients undergoing breast day surgery through information receiving questionnaire,whole-course mobile information support demands questionnaire,and Amsterdam preoperative anxiety and information scale.Results: 1.The quantitative research on 150 patients with breast day surgery showed that the standardized score of patient information reception was 45.87 ± 18.42(total score 100),which was at a low level and affected by education level(t =-2.629,P <0.01).The total score of the preoperative anxiety scale was 9.55 ± 3.73,among which the high-level anxiety accounted for 45.3%.The average information demand score was6.11 ± 2.31,and patients with medium and high-level information demand accounted for 72.6%,and the categroy of BI-RADS was associated with anesthesia-related anxiety Score(t = 2.166,P < 0.05).In multivariate linear regression,the demand for surgeryrelated information and the demand for anesthesia-related information were positively correlated with the total anxiety score,while the information benefit level was negatively correlated with the total anxiety score.A qualitative study of 15 high-level anxiety patients and 10 breast surgery medical staffs outlined 4 themes: experiences of multidimensional anxiety states which highlighted the trend of periodic fluctuations;giving information expectation multiple attributes;low-level effectiveness of perceived information practice such as poor self-care ability;expectation for information support intelligentialize together.2.The cross-sectional survey of 150 patients with breast day surgery showed that the standardization score of the whole-course mobile information support demand was 90.24 ± 8.50(out of 100),which presented as a high degree of demand.Combined with previous research,business process reengineering theory and "ESIA analysis method" were used to guide the development and design of wholecourse information support modules based on mobile platforms.After two rounds of expert consultation,the " Whole-course Information Support for Breast Day Surgery" We Chat public account was constructed,covering six modules(personal information,appointment information,diagnosis and treatment path information,information and knowledge support,continuous service information,and evaluation information).3.A non-contemporaneous control study of 301 patients with breast day surgery showed that the standardized score of information reception in the intervention group was significantly higher than that of the control group(P < 0.01).The standardized score of the whole-course mobile information support demand,the preoperative anxiety scores,and the incidence of high-level anxiety in the intervention group were significantly lower than those in the control group(P < 0.01).There was no statistically significant difference in the total information requirement scores between the two groups(P >0.05).Conclusions: 1.There was insufficient information reception for patients undergoing breast day surgery.Anxiety and information demand were at high levels,where highlevel anxiety was associated with high-level information demand and low-level information benefit.Patients had a high-level information expectation but the information practice effectiveness was at a low level.The sharp contrast between the multiple attributes of patients’ information expectation and the lack of information practice effectiveness explained the cause of high-level anxiety,as well as the anticipation for information support intelligentialize.2.The whole-course mobile information support could effectively improve the patient’s information reception level,and meet the high-level information demand as well as relieve anxiety levels,indicating the need to continuously improve the whole-course mobile information support plan. |
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