The effects of continuation nursing based on WeChat platform on self-care ability of patients with ileal bladder stoma
10.3760/cma.j.issn.1672-7088.2019.24.009
- VernacularTitle: 基于微信平台的延续性护理对回肠膀胱造口患者自我护理能力的影响
- Author:
Qingrong QU
1
;
Kuanxin ZHANG
1
;
Yige XU
2
;
Peiyu SHI
1
Author Information
1. Nursing Department of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
2. Anorectal Surgery Department of the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
- Publication Type:Clinical Trail
- Keywords:
Ileal conduit;
WeChat platform;
Transitional care;
Self-care
- From:
Chinese Journal of Practical Nursing
2019;35(24):1883-1887
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of continuous care based on WeChat platform on self-care ability of patients with ileal bladder stoma.
Methods:A total of 80 patients with ileal conduit were recruited from a urological department of The First Affiliated Hospital of Zhengzhou university from September 2016 to October 2017. The patients were randomly divided into intervention group (n=40) and control group (n=40). Both groups received routine care, and the experimental group also used the continuation care based on WeChat platform. The outcomes of complication incidence, self-care level with stoma were evaluated at the times of 1 day before discharge, 4 weeks after discharge and 12 weeks after discharge.
Results:The self-care scores of the intervention group at 3 time points were 5.13 ± 2.79, 9.98 ± 2.68, and 15.65 ± 2.37, The control group were 5.35 ± 3.20, 8.13 ± 3.45, and 12.30 ± 5.93. The interaction of self-care level scores of the two groups were statistically significant (F(1.735, 67.680)=23.301, P<0.05). The incidence of complications of the intervention group at the 3 time points was 5.00%(2/40), 42.50%(17/40), and 22.50% (9/40). The control group were 0(0/40), 51.22% (21/40), and 63.41% (26/40). The incidence of complications in the two groups was statistically significant at the 12th week after discharge (χ2=14.679, P<0.05).
Conclusions:With continuous care based on WeChat platform, the self-care level of patients with ileal bladder stoma can be effectively improved, and reduce the incidence of complications.
