Better Involved (Beter Betrokken)

This study focusses on patients who underwent total knee replacement surgery. Just before discharge, patients are often over loaded with information from the physician, the nurse and the physiotherapist. This leads to (unnecessary) problems with self management in (mainly) the first 4 weeks after discharge. Often, from day one after discharge onwards, patients contact the hospital with questions relating to pain management, wound care, physiotherapy exercises, indications for complications, whether they can take a shower, etc.



By using an app that actively offers patients information throughout each week of the four week after discharge, we hypothesise they have more knowledge and are therewith better capable of managing their own care and situation. As a result we hypothesise a decrease in (unnecessary) communication with the health care providers and an increase in satisfaction and (the feeling of) involvement from the hospital in the first 4 weeks after discharge.

Actively providing patients with subdivided and interactive information after discharge from the hospital leads to increased self management, satisfaction and sense of involvement.

baseline

- informed consent

- patient characteristics

- QoL

- KOOS PS functional outcome

Weekly, 4 weeks after discharge

- pain / pain management

- need for information

- contact with hospital / GP / homecare

- satisfaction with information

- QoL (week 4 only)

- KOOS PS functional outcome (week 4 only)

usage of interactive app for smartphone and tablet with daily push notifications with information about a certain part of the discharge process (pain management, physio therapy exercises, home care, etc)