Effect Of Transitional Care Based On The WeChat Platform In Quality Of Life Of Patients After Minimally Invasive Esophagectomy

Objective:Objective to investigate the effects of transitional care based on t WeChat platform in symptoms,nutrition,quality of life,and self-management efficacy of patients after MIE.Provide theoretical reference promoting the application of transitional care based on WeChat platform in postoperative patients.Methods:This study was a randomized controlled trial.Convenience sampling was used to select 126 patients who underwent MIE from January 2020 to December 2020 in atertiary hospital in Nanchong.The random number method was used to randomly divide the patients into the test group and control group,with 63 patients in each group.The control group received routine continuation care,and the test group received transitional care based on the WeChat platform.Routine care guidance was given 1 day before discharge,and follow-up was 6 months after discharge.The control group issued a health information handbook 1 day before discharge,and followed up by telephone.The test group used the WeChat platform to distribute health guidance content 1 day before being discharged from the hospital,and follow-up is carried out through the WeChat platform,and the content is distributed through video,pictures and text,and the WeChat group,WeChat official account,and WeChat friends are used for health guidance and communication.Evaluators collect general information 1 day before discharge.Nutritional indicators,QLQ-OES18,QLQ-C30,and C-SUPHH were collected one day before discharge and 1,3 and 6 months after discharge.Quality of life was the primary endpoint,andsymptoms,nutrition,self-management efficiency was secondary outcomes.The effects of intervention measures on nutrition and symptoms of patients in the two groups were analyzed,and the effects of intervention measures on quality of life and self-management efficacy of patients were further explored.Data analyzed using SPSS 25.0 statistical software.The data accord with normal distribution was analyzed by independent samples t test.The Mann-Whitney U test was used to analyze the measurement data that did not conform to a normal distribution.Used chi-square test to analyze counting data.The Repeated measures analysis of variance was used to compare whether there was a difference between the two groups of interventions.The test level α was 0.05.Results:1.Attrition of study subjects:The study included 126 cases,lost 9 cases,finally studied 117 cases,including 59 cases in the experimental group and 58 cases in the control group.2.Comparison of baseline data:The two groups were not statistically significant(P>0.05)and comparable in general demographic data,scores of QLQ-C30,QLQ-OES18 and C-SUPPHS on the day before discharge.3.The effect of intervention between the two groups of patients was compared.(1)Comparison of QLQ-OES18 scores between the two groups:The repeated measures analysis of variance showed that the two groups had interaction in the areas of difficulties swallowing,pain,obstruction,dry mouth and cough(P<0.05).(2)Comparison of nutritional indexes between two groups:The repeated measures analysis of variance showed that the two groups had interaction in the areas of BMI and total protein(P<0.05).(3)Comparison of QLQ-C30 scores between the two groups:The repeated measures analysis of variance showed that two groups had interaction in the areas of general health status,somatic functioning,role functioning,emotional functioning,social functioning,fatigue,pain,shortness of breath,insomnia,and constipation(P<0.05).(4)Comparison of C-SUPPH scores between the two groups:The repeated measures analysis of variance showed that the two groups had interaction in the areas of patients’ total self-efficacy scores,positive attitudes,self-determination,and self-stress reduction(P<0.05).Conclusion:Compared with continuous nursing based on WeChat platform can improve the symptoms of dysphagia,pain,obstruction,dry mouth and cough.Improve body mass index and total protein content.Improve overall health status of patients,physical function,role function,emotional function,social function,fatigue,nausea and vomiting,pain,shortness of breath,insomnia and constipation,improve the quality of life of patients.Improve self-management efficacy of patients.It has reference significance for improving the quality of life of postoperative patients.