Influences of continuous nursing on WeChat platform upon the nursing effects on patients with intestinal stoma / 中国实用护理杂志

ABSTRACT

Objective:To analyze the effects of continuous nursing intervention on patients with intestinal stoma using WeChat, China′s most popular messaging App.Methods:A total of 60 patients undergoing permanent intestinal stoma surgery, who were admitted to Dalian Third People′s Hospital from January 2018 to December 2019, were selected as the research objects. They were divided into the control group and the observation group with 30 cases each using random number table method. The control group adopted the traditional continuous nursing model while the observation group received both traditional continuous nursing model and continuous nursing interventions via WeChat. By using the Exercise of Self-Care Agency Scale (ESCA), City of Hope-Quality of Life-Ostomy Questionnaire Chinese Version (C-COH), and Ostomy Adjustment Inventory (OAI), the differences in self-care capability, quality of life, stoma adaptability, incidence of intestinal stoma complications, and patients′ satisfaction with the new nursing model in the two groups were compared before the intervention, 1 month and 3 months after the intervention, respectively.Results:Before intervention, there was no significant difference between the two groups in ESCA total score, C-COH score and OAI score ( P>0.05). After 1 month and 3 months of intervention, the observation group had the total ESCA scores of (91.50 ± 2.86) and (104.87 ± 3.45) points, which were higher than control group′s (81.37 ± 2.98) and (92.80 ± 2.91) points, respectively, and the differences between the two groups were statistically significant ( t=13.13, 14.38, both P<0.05); the observation group had the C-COH scores of (5.00 ± 1.13) and (6.37 ± 1.22) points, which were higher than the control group′s (3.90 ± 1.14) and (4.67 ± 1.04) points, respectively, and the differences between the two groups were statistically significant ( t=3.71, 5.69, both P<0.05); the observation group had the OAI scores of (48.13 ± 8.55) and (60.07 ± 7.43) points, which were higher than the control group′s (39.57 ± 7.43) and (43.47 ± 7.39) points, respectively, and the difference between the two groups was statistically significant ( t=4.07, 8.53, both P<0.05); after 3-month intervention, the observation group had a 16.7 % (5/30) incidence of stoma complications, which was lower than the control group′s 46.7% (14/30), and the difference between the two groups was statistically significant ( χ2=6.24, P<0.05); after 3-month intervention, the observation group had a score of (95.90 ± 1.66) points for the patient′s satisfaction with continuous care, which was higher than the control group′s (89.80 ± 2.44) points, and the difference between the two groups was statistically significant (t value was 11.13, P<0.05). Conclusions:Delivering the WeChat continuous nursing interventions for patients with intestinal stoma has improved the patients′ self-care capability, enhanced stoma adaptation level and quality of life, reduced the incidence of intestinal stoma complications, and improved patients′ satisfaction. Thereby, continuous nursing on WeChat is worthy of clinical application.