{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T23:23:57Z","timestamp":1787181837224,"version":"build-2736575974"},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Mobile Gesundheitsanwendungen (mHealth) gewinnen in der Chirurgie zunehmend an Bedeutung, insbesondere zur Unterst\u00fctzung der Pr\u00e4habilitation, perioperativen Patientenf\u00fchrung und poststation\u00e4ren \u00dcberwachung. Im deutschsprachigen Raum liegen bislang jedoch nur begrenzte Daten zur systematischen Integration solcher Anwendungen in den chirurgischen Versorgungsalltag vor. Ziel dieser Pilotstudie war es, die Machbarkeit, Nutzerakzeptanz und Zufriedenheit einer neu entwickelten multimodalen perioperativen Patienten-App in der Kolorektalchirurgie zu evaluieren.<\/jats:p>\n                  <jats:p>In diese prospektive Beobachtungsstudie wurden 14 Patientinnen und Patienten eingeschlossen, die sich zwischen Juni und Oktober 2025 einer elektiven kolorektalen Operation unterzogen und perioperativ eine mPOM-basierte (multimodales perioperatives Management) Patienten-App nutzten. Die Anwendung umfasste pr\u00e4habilitative Module, edukative Inhalte zur station\u00e4ren Phase sowie ein strukturiertes poststation\u00e4res Monitoring mit standardisierten Symptomabfragen und Eskalationshinweisen. Die Evaluation erfolgte 30 Tage postoperativ mittels des validierten GER-MAUQ Fragebogens sowie projektspezifischer Fragen.<\/jats:p>\n                  <jats:p>Alle Teilnehmenden nutzten die App regelm\u00e4\u00dfig bis zum Abschluss der Behandlung. Benutzerfreundlichkeit, Verst\u00e4ndlichkeit der Inhalte und Navigation wurden \u00fcberwiegend sehr positiv bewertet. S\u00e4mtliche Patientinnen und Patienten gaben an, durch die App in der pr\u00e4operativen Vorbereitung unterst\u00fctzt worden zu sein; 85% berichteten eine erleichterte postoperative Erholung. Rund 80% f\u00fchlten sich sowohl peri- als auch postoperativ weniger alleingelassen. Erinnerungsfunktionen, die digitale Erfassung klinisch relevanter Parameter sowie der dauerhafte Zugriff auf Gesundheitsinformationen erhielten besonders hohe Bewertungen. Zudem gaben 71% der Befragten an, dass der Zugang zu Gesundheitsleistungen durch die App erleichtert worden sei. Die Gesamtzufriedenheit sowie die Weiterempfehlungsbereitschaft waren insgesamt hoch.<\/jats:p>\n                  <jats:p>Die Ergebnisse dieser Pilotstudie zeigen, dass eine multimodale digitale Patientenf\u00fchrung im gesamten perioperativen Verlauf der Kolorektalchirurgie gut implementierbar ist und hohe Akzeptanz findet. Digitale Anwendungen k\u00f6nnen die Pr\u00e4habilitation wirksam unterst\u00fctzen, das subjektive Sicherheitsempfinden st\u00e4rken, das Selbstmanagement f\u00f6rdern und organisatorische Prozesse entlasten. Zur belastbaren Beurteilung klinischer Outcome-Parameter sowie gesundheits\u00f6konomischer Effekte sind gr\u00f6\u00dfere prospektive Studien erforderlich.<\/jats:p>","DOI":"10.1055\/a-2862-3085","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:08:21Z","timestamp":1780960101000},"page":"353-363","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation der multimodalen perioperativen Versorgung mittels Patienten-App in der kolorektalen Chirurgie \u2013 erste klinische Erfahrungen und Patientenzufriedenheit"],"prefix":"10.1055","volume":"151","author":[{"given":"Mona","family":"Bre\u00dfer","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie"]},{"name":"Universit\u00e4t Bonn, NRW, Deutschland","place":["Bonn"],"department":["Bonn Surgical Technology Center 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(BOSTER)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambra","family":"Marx","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Psychosomatische Medizin und Psychotherapie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Tups","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Onkologische Ern\u00e4hrungsberatung, Abteilung f\u00fcr Integrierte Onkologie, Centrum f\u00fcr Integrierte Onkologie (CIO) Bonn"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Schulz","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Onkologische Ern\u00e4hrungsberatung, Abteilung f\u00fcr Integrierte Onkologie, Centrum f\u00fcr Integrierte Onkologie (CIO) Bonn"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg C.","family":"Kalff","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie"]},{"name":"Universit\u00e4t Bonn, NRW, Deutschland","place":["Bonn"],"department":["Bonn Surgical Technology Center (BOSTER)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3763-7158","authenticated-orcid":false,"given":"Tim","family":"Vilz","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Bonn, NRW, Deutschland","place":["Bonn"],"department":["Klinik und Poliklinik f\u00fcr Allgemein-, Viszeral-, Gef\u00e4\u00df- und Transplantationschirurgie"]},{"name":"Universit\u00e4t Bonn, NRW, Deutschland","place":["Bonn"],"department":["Bonn Surgical Technology Center 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