Volume 19 Issue 8
Aug.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(8): 1419-1422
HUANG Xiao-qin, LYU Dong-lai, ZHOU Li-mei. Observation on the application effect of continuing care based on WeChat platform in patients with gastrointestinal tumors using PICC[J]. Chinese Journal of General Practice, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075
Citation: HUANG Xiao-qin, LYU Dong-lai, ZHOU Li-mei. Observation on the application effect of continuing care based on WeChat platform in patients with gastrointestinal tumors using PICC[J]. Chinese Journal of General Practice, 2021, 19(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002075
shu

Observation on the application effect of continuing care based on WeChat platform in patients with gastrointestinal tumors using PICC

doi: 10.16766/j.cnki.issn.1674-4152.002075

  • Department of Oncology, the 901th Hospital of the Joint Logistics Support Force of PLA, Hefei, Anhui 230031, China

Funds:

 1808085MH267

  • Received Date: 2021-12-12
    Available Online: 2022-02-16
    Abstract
  •   Objective  To explore the application effect of WeChat platform in PICC continuous care for patients with gastrointestinal cancer chemotherapy.  Methods  The 102 patients with PICC intubation gastrointestinal tumors in our hospital from October 2017 to October 2019 were divided into observation group and control group by random number table, with 51 cases in each. The control group was given conventional nursing mode, and the observation group provided professional guidance on the WeChat platform for continuous nursing intervention on the basis of control. A total of 16 weeks of intervention were conducted to observe the catheter indwelling time of the two groups of patients and the expected incidence of complications throughout the intervention. After the intervention, the satisfaction was investigated, and the self-management ability of the two groups before and after intervention was analyzed.  Results  The catheter indwelling time in the observation group [(167±32) days] was significantly longer than that in the control group [(121±25) days]. The PICC-related complications of the observation group were phlebitis (P=0.038), displacement and blockage (P=0.029), infection (the incidence of P=0.046) were lower than that of the control group. Patients in the observation group had a higher level of service attitude (P=0.035), technical level (P=0.025), degree of concern (P=0.008), content and frequency of publicity and education (all P < 0.001). Satisfaction was higher than that of the control group. The self-management ability of patients in the observation group was significantly improved before and after the intervention (P < 0.001). After the intervention, the self-management ability of patients in the observation group was also better than that of the control group (P < 0.001).  Conclusion  The use of WeChat platform in continuing care is beneficial for cancer patients to know PICC-related knowledge, can avoid related complications, and improve the satisfaction of patients and their families and the patients' self-intervention ability.

     

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