Application of WeChat platform in the management of patients infected with Helicobacter pylori

Abstract

Objective To evaluate the effectiveness of using WeChat platform to manage the patients with H. pylori infection. Methods 566 patients were randomly divided into two groups: The control group was treated with traditional management method, and the experimental group established WeChat group and implemented the informatization management. The two groups were given a unified plan to eradicate H. pylori. After the treatment, the C14 breath test was reexamined. The follow‐up rate and H. pylori eradication rate of the two groups were counted. Results In the experimental group, 289 patients were enrolled and 271 patients were followed up. The follow‐up rate was 93.8%. The number of H. pylori‐negative patients was 244, and the eradication rate was 90.0%. In the control group, 277 patients were enrolled in the study, and 215 patients were followed up. The follow‐up rate was 77.6%. 169 cases of H. pylori‐negative conversion were found, and the eradication rate was 78.6%. Conclusion Through WeChat management, the medication adherence, regular follow‐up, and H.pylori infection eradication rate of the patients with H.pylori infection in the experimental group were better than that in control group, during the treatment of eradicating H.pylori, and the difference was statistically significant.

Effect of enhanced patient instructions onHelicobacter pylorieradication: A systematic review and meta‐analysis of randomized controlled trials

“…Regarding blinding, 3 studies 20,22,24 described methods for single blinding, one study 27 was open trial (non‐blind), and the remaining 5 studies 21,23,25,26,28 were judged as unclear risk due to insufficient information. With respect to attrition bias, one study conducted by Ma et al 28 was judged as high risk of bias due to the unbalanced proportion of missing data, and all the remaining studies were judged as low risk of bias. All studies had low risks of bias based on selective reporting (reporting bias), and other sources of bias.…”

“…Due to the complexity and long duration of current H . pylori eradication regimens, which may affect patient compliance, increasing clinical studies 20‐28 have attempted to use these EPI methods to improve H . pylori eradication rate.…”

Effects of enhanced education for patients with the Helicobacter pylori infection: A systematic review and meta‐analysis

“…In individual trials, sample sizes ranged from 80 to 566 (a total of 1599 participants across all studies). Of the seven RCTs, two 22,23 were from Western countries (England and Australia), while the remaining five 16,24–27 were from China. All seven studies 16,22–27 reported on the eradication rate of H .…”

“…pylori patients tend to have low medication compliance, thus affecting the eradication rate. In this regard, research has shown that patient compliance can be improved through strengthened educational provisions, thus enhancing the treatment effects 16 …”

Susceptibility-Guided Therapy vs. Bismuth-Containing Quadruple Therapy as the First-Line Treatment for Helicobacter pylori Infection: A Systematic Review and Meta-Analysis

“…Compliance is an important factor influencing the eradication rate of H. pylori . Several studies ( 41 – 43 ) were conducted in China to evaluate useful methods to improve compliance in the management of H. pylori infection. Interestingly, short-message-based reeducation or WeChat platform (a social media platform) reminders two times daily were the efficient ways to improve the eradication rate of H. pylori infection and elevate the compliance of H. pylori regimens.…”