Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: May 4, 2024
Date Accepted: Apr 15, 2025
Impact of mHealth on postoperative quality of life, self-management, and dysfunction in patients with oral and maxillofacial tumors: Multicenter Prospective Controlled Trial
ABSTRACT
Background:
With a focus on postoperative dysfunctions that may occur after maxillofacial tumor resection and the difficulties faced during home rehabilitation, we developed a mobile health application based on nurse-patient cooperation. The application extends rehabilitation care from hospital to home with the help of artificial intelligence, Internet of Things, and other technologies, thus helping patients to better carry out their home functional rehabilitation and meet their health needs.
Objective:
To assess changes in the quality of life, self-management efficacy, and functional impairment in patients with oral and maxillofacial tumours after receiving intervention from the Intelligent Home Rehabilitation Care Platform.
Methods:
In this quasi-experimental study, patients with oral and maxillofacial head and neck tumors who had undergone surgery were recruited from allied hospitals in the Yangtze River Delta region, divided into an experimental group (n=138) and a control group (n=123), and received either the Intelligent Home Rehabilitation Care Platform intervention or conventional healthcare and guidance, respectively. The intervention lasted 3 months, and the patients' quality of life, self-management efficacy, and improvement in dysfunction were assessed at 1 week, 1 month, and 3 months postoperatively.
Results:
Compared with the control group, the experimental group demonstrated significantly improved quality of life at 3 months postoperatively (287.55 vs 342.59 P<.05) and significantly improved self-management efficacy at 1 and 3 months postoperatively(P<.05). The experimental group showed improvements in shoulder function, dysphagia, and trismus after mHealth intervention; however, the differences were not significant.
Conclusions:
With a focus on postoperative dysfunctions that may occur after maxillofacial tumor resection and the difficulties faced during home rehabilitation, we developed a mobile health application based on nurse-patient cooperation. The application extends rehabilitation care from hospital to home with the help of artificial intelligence, Internet of Things, and other technologies, thus helping patients to better carry out their home functional rehabilitation and meet their health needs. The Intelligent Home Rehabilitation Care Platform interventions can effectively enhance patients' self-management efficacy and facilitate recovery from dysfunctions. Therefore, mHealth may be used in oncology care to provide smarter home self-care for patients. Clinical Trial: Chinese Clinical Trial Registry (ChiCTR2300073518)
Citation
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