Effectiveness of telephone and WeChat follow-up in patients discharged from hospital with retained chest drains after stage Ⅲ tuberculous septic chest surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YUAN Ye ¹ , WANG Ning ² , JIA Shang ¹ , LI Dan ¹ , ZHOU Jun ¹ ,  YAO Xiaojun ¹

1. Department of Thoracic Surgery, Public Health Clinical Center of Chengdu, Chengdu, 610061, P. R. China;
2. Department of Public Health, Chengdu medical collage, Chengdu, 610084, P. R. China;

Corresponding author：

YAO Xiaojun, Email: flyingyao@163.com

Keywords：

tuberculous septic chest; follow-up; telephone; Wechat; quality of life; efficacy observation

DOI：

10.7507/1007-4848.202307054

Video：

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Objective To explore the application effect of telephone and WeChat follow-up in patients discharged from hospital with a lagging closed chest drain after stage Ⅲ tuberculous pyothorax surgery. Methods The patients discharged with tubes after stage Ⅲ tuberculous pyothorax surgery in the Department of Thoracic Surgery of Chengdu Public Health Clinical Medical Centre from November 2021 to November 2022 were selected for follow-up, and were divided into an observation group and a control group through random grouping to compare and analyse the patients' quality of life, adherence and recovery. Results A total of 81 patients' data were collected in this study, 49 patients in the observation group, with a mean age of 38.63±15.86 years, 63.27% (31/49) males and 36.73% (18/49) females, and 32 patients in the control group, with a mean age of 36.91±17.33 years, 84.38% (27/32) males and 15.63% (5/32) females.The postoperative quality of life scores of patients in the observation group were better than those of the control group in terms of physical function, emotional function, physical symptoms, general health, and quality of life (P<0.05), treatment adherence: daily activity time, use of respiratory trainer, and frequency of coughing were better than those of the control group (all P<0.001), the time of tube banding was less than those of the control group (P<0.001), and the recovery of albumin and haemoglobin was better than those of the control group (P<0.001). control group (P<0.001). Conclusion Telephone combined with WeChat follow-up can improve the quality of life ,compliance of follow-up care, who discharged with tubes ,effectively reduce the time of patients with tubes after surgery, promote nutritional recovery, and accelerate postoperative rehabilitation.

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2.	Sun W, Yin G, Cai H, et al. The efficacy and safety of uniportal video-assisted thoracic surgery on the treatment for stage II-III tuberculous empyema: a single-arm clinical retrospective study from 2016 to 2021 in a thoracic surgery center in China. BMC Pulm Med, 2022, 22(1): 398.
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8.	苏晓宁, 郑建清, 陈樱. SF-36量表和EORTC QLQ-LC43量表在肺癌患者生活质量测定中的应用效果. 中国卫生标准管理. 2023, 14(9): 114-120.
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10.	Qiu Y, Qin H, Ying M, et al. WeChat-based health education to improve health knowledge in three major infectious diseases among residents: A multicentre case-controlled protocol. BMJ Open, 2020, 10(11): e037046.
11.	Zou P, Huang A, Luo Y, et al. Effects of using WeChat/WhatsApp on physical and psychosocial health outcomes among oncology patients: A systematic review. Health Inform J, 2023, 29(1): 14604582231164697.
12.	Zhang QL, Xu N, Huang ST, et al. WeChat-assisted preoperative health education reduces burden of care on parents of children with simple Congenital Heart Disease: A prospective randomized controlled study. Braz J Cardiovasc Surg, 2021, 36(5): 663-669.
13.	Yang J, Yang H, Wang Z, et al. Self-management among type 2 diabetes patients via the WeChat application: A systematic review and meta-analysis. J Clin Pharm Ther, 2021, 46(1): 4-16.
14.	赵延慧, 唐楠, 韩琳, 等. 国内外日间手术患者延续性护理研究进展. 护理学报. 2018, 25(6): 24-27.
15.	Hong YA, Shen K, Han HR, et al. A WeChat-based intervention, wellness enhancement for caregivers (WECARE), for Chinese American dementia caregivers: Pilot assessment of feasibility, acceptability, and preliminary efficacy. JMIR Aging, 2023 Apr 5: 6: e42972.
16.	Ou Q, Wang L, Wang K, et al. Effect of probiotics supplementation combined with WeChat platform health management on nutritional status, inflammatory factors, and quality of life in patients with mild-to-moderate ulcerative colitis: A randomized trial. Ann Palliat Med, 2021, 10(6): 6606-6616.
17.	Li X, Li T, Chen J, et al. A WeChat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: A cluster-randomized controlled trial. Int J Environ Res Public Health, 2019, 16(21).
18.	张芹, 刘泽霞, 王琳琳, 等. "微信公众号"+多学科团队协作护理在出院脑梗死患者中的应用. 中华现代护理杂志, 2023, 29(3): 359-364.
19.	Wang ZR, Zhou JW, Liu XP, et al. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin Cases, 2021, 9(34): 10576-10584.

1. Xia Z, Zheng S, Shi Q, et al. Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema. J Int Med Res, 2023, 51(5): 3000605231169901.
2. Sun W, Yin G, Cai H, et al. The efficacy and safety of uniportal video-assisted thoracic surgery on the treatment for stage II-III tuberculous empyema: a single-arm clinical retrospective study from 2016 to 2021 in a thoracic surgery center in China. BMC Pulm Med, 2022, 22(1): 398.
3. 蒋钰辉, 戴希勇, 申磊. 单孔胸腔镜与开胸纤维板剥脱术治疗慢性结核性脓胸的比较. 中国微创外科杂志. 2023, 23(2): 98-102.
4. Potzger T, Ried M, Hofmann HS. Decortication in Pleural Empyema: Reasonable Effects on Lung Function? Zentralbl Chir, 2016, 141 Suppl 1: S18-S25.
5. 中华医学会结核病学分会. 中国耐多药和利福平耐药肺结核外科治疗专家共识(2022年版)中华结核和呼吸杂志. 2023, (02): 111-120.
6. 贾霜, 宋毅杰, 吴邦贵, 等. 胸腔镜胸膜剥脱术在治疗Ⅲ期结核性脓胸中的临床应用. 中华结核和呼吸杂志. 2023, 46(5): 474-479.
7. 陈妹英. 探析多学科合作的延续护理对卵巢癌患者心理状态和生活质量的影响. 当代护士(下旬刊). 2021, 28(2): 91-3.
8. 苏晓宁, 郑建清, 陈樱. SF-36量表和EORTC QLQ-LC43量表在肺癌患者生活质量测定中的应用效果. 中国卫生标准管理. 2023, 14(9): 114-120.
9. 毕丽. 循证护理干预模式在结核性脓胸手术患者中的应用效果. 中国医药指南. 2022, 20(18): 133-135.
10. Qiu Y, Qin H, Ying M, et al. WeChat-based health education to improve health knowledge in three major infectious diseases among residents: A multicentre case-controlled protocol. BMJ Open, 2020, 10(11): e037046.
11. Zou P, Huang A, Luo Y, et al. Effects of using WeChat/WhatsApp on physical and psychosocial health outcomes among oncology patients: A systematic review. Health Inform J, 2023, 29(1): 14604582231164697.
12. Zhang QL, Xu N, Huang ST, et al. WeChat-assisted preoperative health education reduces burden of care on parents of children with simple Congenital Heart Disease: A prospective randomized controlled study. Braz J Cardiovasc Surg, 2021, 36(5): 663-669.
13. Yang J, Yang H, Wang Z, et al. Self-management among type 2 diabetes patients via the WeChat application: A systematic review and meta-analysis. J Clin Pharm Ther, 2021, 46(1): 4-16.
14. 赵延慧, 唐楠, 韩琳, 等. 国内外日间手术患者延续性护理研究进展. 护理学报. 2018, 25(6): 24-27.
15. Hong YA, Shen K, Han HR, et al. A WeChat-based intervention, wellness enhancement for caregivers (WECARE), for Chinese American dementia caregivers: Pilot assessment of feasibility, acceptability, and preliminary efficacy. JMIR Aging, 2023 Apr 5: 6: e42972.
16. Ou Q, Wang L, Wang K, et al. Effect of probiotics supplementation combined with WeChat platform health management on nutritional status, inflammatory factors, and quality of life in patients with mild-to-moderate ulcerative colitis: A randomized trial. Ann Palliat Med, 2021, 10(6): 6606-6616.
17. Li X, Li T, Chen J, et al. A WeChat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: A cluster-randomized controlled trial. Int J Environ Res Public Health, 2019, 16(21).
18. 张芹, 刘泽霞, 王琳琳, 等. "微信公众号"+多学科团队协作护理在出院脑梗死患者中的应用. 中华现代护理杂志, 2023, 29(3): 359-364.
19. Wang ZR, Zhou JW, Liu XP, et al. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin Cases, 2021, 9(34): 10576-10584.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Latest ArticlesEffectiveness of telephone and WeChat follow-up in patients discharged from hospital with retained chest drains after stage Ⅲ tuberculous septic chest surgery

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