Effect of the whole seamless connection of nursing from WeChat interactive platform on stigma and quality of life in patients with urinary system cancer

Abstract

Objective To evaluate the effects of intervention by “whole seamless connection of nursing from WeChat interactive platform” on stigma and quality of life of the patients with urinary system cancer. Methods Overall, 80 patients with urinary cancer were randomly divided (40 cases per group) into control and observation groups. Routine nursing was provided to the control group, whereas positive psychological intervention was provided to the intervention group through a “whole seamless connection of nursing from the WeChat interactive platform” in addition to routine nursing. The Chinese version of social impact and cancer patients’ quality of life scales were used to evaluate the effects before and after the intervention. Results After the intervention, the total score for stigma was significantly lower ( p < 0.01), while that of quality of life was higher ( p < 0.05) in the observation group relative to the control group. Conclusions The whole seamless connection of nursing from the WeChat interactive platform could reduce stigma and improve the quality of life of patients with urinary cancer.

Enhanced Nursing Care for Improving the Self-Efficacy & Health-Related Quality of Life in Patients with a Urostomy

“… Zganjar, A. et al (2021) 24 Physical interviews At enrollment/discharge, 2-week (OAS), 6-week and 12-week Health-related quality of life Ostomy-specific adjustments during the study SF36v2 The Ostomy Adjustment Scale (OAS) Improvement at 6-week in HRQOL that persisted a 12-week OAS level at discharge was maintained at 6- and 12-week assessment Jensen, B. T. et al (2017) 26 Physical interviews At day 35, 120 and 365 postoperatively Self-efficacy Urostomy Education Scale Improved self-efficacy observed in the intervention group. Merandy, K. et al (2017) 27 Physical interviews Self-efficacy Feasibility and self-care skills Six-item Self-Efficacy to Manage Chronic Disease (SES6G) scale Exploratory self-efficacy (ESE) question Urostomy Education Scale (UES) (for incontinent UD) An exploratory continent UD scale (ECUDS) (for continent UD) No difference in self-efficacy was noticed between the cohorts Feasibility was noticed Hao, H. et al (2022) 28 Telephonic interaction Three months after discharge Social stigma Quality of life Social Impact Scale (SIS) Quality of life scale for cancer patients (QLQ-C30) Social stigma was significantly lowered and quality of life was enhanced in the intervention group Zhou, H. et al (2019) 29 Physical and telephonic interaction At discharge and 6 months post-surgery Self-efficacy Health-related quality of life Stoma Self-Efficacy Scale (SSES) and the City of Hope Quality of Life-Ostomy (COHQOL-O) Improvements in the intervention group were noticed in terms of self-efficacy and HRQOL. …”

“… Merandy, K. et al (2017) 27 Delivered on postoperative day 4, 5, or 6 Clinician, wound ostomy and continence nurse (WOCN) One-hour Once postoperatively A simplified medical illustration of participant-specific UD A step-by-step UD self-care instructional video, and a pictorial Microsoft PowerPoint ® . Hao, H. et al (2022) 28 Over 3 months 3 attending physicians, 5 nurses, and 2 recovered patients Continued interaction Nurses provided routine nursing and health education before and after surgery for the urinary system cancer and after discharge from the hospital The physicians were responsible for surgical planning and follow-up of the pre-inpatients Using the message function on the WeChat public account, the responsible nurses promptly completed the postoperative pipeline maintenance and stoma nursing care to provide professional help and promote patients with active treatment in the intervention group. Patients helped each other and tided over difficulties Empathy counseling and psychological adjustment Family support Zhou, H. et al (2019) 29 Over 6 months 1 WOC/enterostomal therapy nurse and 3 RNs with specialized training in ostomy care Continued interaction Routine care included ostomy-related education preoperatively and at discharge delivered to both cohorts.…”

“…In another randomized controlled trial involving 80 urinary system cancer patients, the effects of a nurse-led education program via an online interactive platform “Wechat” for education of patients with urostomy was evaluated. 28 Intervention group was provided with psychological intervention as compared to the control group who received routine nursing care. The Chinese version of social impact and quality of life scales were used which indicated a significantly lower score for stigma (p < 0.01) and higher score for quality of life in the observation group (p < 0.01).…”

“…Post-operative period can be rather essential for continued care through nursing-patient interaction as has been demonstrated in these studies. 28–30 In fact, postoperative intervention has been critical in the prevention of stoma-related complications which has shown to affect the HRQOL adversely. 21 , 29 , 30 Moreover, timing of assessment is also critical as early (few weeks) and late (6 months onwards) assessment may influence the outcome of interventions.…”