Aplicativos mHealth para monitoramento clínico e segurança do paciente no pós-operatório: revisão integrativa da literatura
DOI:
https://doi.org/10.5327/prmj.969Palavras-chave:
Telemedicina, Cuidados pós-operatórios, Segurança do paciente, Monitoramento remoto de pacientesResumo
Objetivo: Analisar as evidências científicas recentes sobre o uso de aplicativos mHealth voltados ao monitoramento clínico e à segurança do paciente no pós-operatório. Método: Revisão integrativa da literatura, conduzida segundo critérios metodológicos padronizados, com buscas nas bases PubMed/MEDLINE, Scopus, Web of Science e SciELO, contemplando estudos publicados entre 2020 e 2025. Resultados: Foram incluídos 25 estudos, os quais evidenciaram redução de complicações pós-operatórias, melhor controle da dor, detecção precoce de eventos adversos, aumento da adesão terapêutica e diminuição das readmissões hospitalares. Conclusão: Os aplicativos mHealth configuram ferramentas eficazes para fortalecer a segurança do paciente no pós-operatório, com impacto positivo na qualidade assistencial e na continuidade do cuidado.
Downloads
Referências
1. Patel B, Thind A. Usability of mobile health apps for postoperative care: systematic review. JMIR Perioper Med. 2020;3(2):e19099. https://doi.org/10.2196/19099
2. Dawes AJ, Lin AY, Varghese C, Russell MM. Mobile health technology for remote home monitoring after surgery: a meta-analysis. Br J Surg. 2021;108(11):1304-14. https://doi.org/10.1093/bjs/znab323
3. Kruse CS, Frederick B, Jacobson T, Monticone DK. Cybersecurity in healthcare: a systematic review of modern threats and trends. Technol Health Care. 2017;25(1):1-10. https://doi.org/10.3233/THC-161263
4. Greenhalgh T, Wherton J, Papoutsi C, Lynch J, Hughes G, A’Court C, et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, scale-up, spread and sustainability of health and care technologies. J Med Internet Res. 2017;19(11):e367. https://doi.org/10.2196/jmir.8775
5. Knight SR, Ng N, Tsanas A, McLean KA, Pagliari C, Harrison EM. Mobile devices and wearable technology for measuring patient outcomes after surgery: a systematic review. NPJ Digit Med. 2021;4(1):157. https://doi.org/10.1038/s41746-021-00525-1
6. Spaulding A, Loomis E, Brennan E, Klein D, Pierson K, Willford R, et al. Postsurgical remote patient monitoring outcomes and perceptions: a mixed-methods assessment. Mayo Clin Proc Innov Qual Outcomes. 2022;6(6):574-83. https://doi.org/10.1016/j.mayocpiqo.2022.09.005
7. León MA, Pannunzio V, Kleinsmann M. The impact of perioperative remote patient monitoring on clinical staff workflows: scoping review. JMIR Hum Factors. 2022;9(2):e37204. https://doi.org/10.2196/37204
8. McLean KA, Knight SR, Diehl TM, Varghese C, Ng N, Potter MA, et al. Readiness for implementation of novel digital health interventions for postoperative monitoring: a systematic review and clinical innovation network analysis. Lancet Digit Health. 2023;5(5):e295-e315. https://doi.org/10.1016/S2589-7500(23)00026-2
9. van der Storm SL, Jansen M, Meijer HAW, Barsom EZ, Schijven MP. Apps in healthcare and medical research; European legislation and practical tips every healthcare provider should know. Int J Med Inform. 2023;177:105141. https://doi.org/10.1016/j.ijmedinf.2023.105141
10. Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. https://doi.org/10.1111/j.1365-2648.2005.03621.x
11. Dhollande S, Taylor A, Meyer S, Scott M. Conducting integrative reviews: a guide for novice nursing researchers. J Res Nurs. 2021;26(5):427-38. https://doi.org/10.1177/1744987121997907
12. Plummer K, Adina J, Mitchell AE, et al. Digital health interventions for postoperative recovery in children: a systematic review. Br J Anaesth. 2024;132(5):886-98. https://doi.org/10.1016/j.bja.2024.01.014
13. McLean KA, Sgrò A, Brown LR, Buijs LF, Mozolowski K, Daines L, et al. Implementation of digital remote postoperative monitoring in routine practice: a qualitative study of barriers and facilitators. BMC Med Inform Decis Mak. 2024;24:307. https://doi.org/10.1186/s12911-024-02670-5
14. Tan SY, Sumner J, Wang Y, Yip AW. A systematic review of the impacts of remote patient monitoring interventions on safety, adherence, quality-of-life and cost-related outcomes. NPJ Digit Med. 2024;7:192. https://doi.org/10.1038/s41746-024-01182-w
15. World Health Organization. SMART Guidelines. Geneva: WHO; 2024.
16. Saban M, Zavala D, Lopez Osornio A, Kaminker D, Rubinstein F. Understanding WHO SMART Guidelines: narrative review of an innovative global digital health approach. Stud Health Technol Inform. 2024;316:1994-8. https://doi.org/10.3233/SHTI240825
17. Alhammad N, Alajlani M, Abd-alrazaq A, Epiphaniou G, Arvanitis T. Patients’ perspectives on the data confidentiality, privacy, and security of mHealth apps: systematic review. J Med Internet Res. 2024;26:e50715. https://doi.org/10.2196/50715
18. Azzellino G, Aitella E, Ginaldi L, Vagnarelli P, De Martinis M. Use of digital and telemedicine tools for postoperative pain management at home: a scoping review of health professionals’ roles and clinical outcomes. J Clin Med. 2025;14(11):4009. https://doi.org/10.3390/jcm14114009
19. Wang R, Zheng J, Guo W, Huang H, Wang Q, Li Y, et al. Integrating a multimodal digital device for continuous perioperative monitoring in patients with lung cancer undergoing thoracic surgery: development and usability study. JMIR Mhealth Uhealth. 2025;13:e69512. https://doi.org/10.2196/69512
20. World Health Organization. Global strategy on digital health 2020-2025. Geneva: WHO; 2021.
21. van der Meij E, Anema JR, Otten RHJ, Huirne JAF, Schaafsma FG. The effect of perioperative e-health interventions on the postoperative course: a systematic review of randomised and non-randomised controlled trials. PLoS One. 2016;11(7):e0158612. https://doi.org/10.1371/journal.pone.0158612
22. Bai H, Pero A, Kibrik P, Chang A, Lee E, Ting W. A systematic review of telehealth and remote monitoring in vascular surgery. JVS Vasc Insights. 2024;2:100133.
23. Claggett J, Petter S, Joshi A, Ponzio T, Kirkendall E. An infrastructure framework for remote patient monitoring interventions and research. J Med Internet Res. 2024;26:e51234. https://doi.org/10.2196/51234
24. Noah B, Keller MS, Mosadeghi S, Stein L, Johl S, Delshad S, et al. Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials. NPJ Digit Med. 2018;1:20172. https://doi.org/10.1038/s41746-017-0002-4
25. Smedslund G, Fønhus MS, Hestevik CH. Effects of remote patient monitoring on health care use: systematic review and meta-analysis. JMIR Mhealth Uhealth. 2025;13:e68464. https://doi.org/10.2196/68464
