The impact of WeChat online education and care on the mental distress of caregivers and satisfaction of elderly postoperative colorectal cancer patients

IF 2.6 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Clinics and research in hepatology and gastroenterology Pub Date : 2024-05-07 DOI:10.1016/j.clinre.2024.102372
Hui Lu , Huihong Wang , Lingyun Zhu , Jiahui Xu , Zhenzhen Su , Wenxia Dong , Fen Ye
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Abstract

Objective

WeChat-based nursing interventions alleviate mental distress. This study intended to investigate the effect of WeChat online education and care (WOEC) on the mental health of caregivers and the satisfaction of elderly postoperative colorectal cancer (CRC) patients.

Methods

In total, 92 elderly postoperative CRC patients and 92 caregivers were randomly separated into the WOEC group (46 patients and 46 caregivers) and the control care group (46 patients and 46 caregivers). Caregivers received corresponding intervention for 8 weeks. Beck depression inventory (BDI) and beck anxiety inventory (BAI) of caregivers, and self-report satisfaction (SRS) of patients were assessed.

Results

In caregivers, BDI scores at 8 weeks after enrollment (W8) (P = 0.024) and BAI score at W8 (P = 0.009), depression severity at W8 (P = 0.036), as well as anxiety severity at 4 weeks after enrollment (W4) (P = 0.028) and W8 (P = 0.047) were declined in the WOEC group versus the control care group. Regarding patients, SRS scores at W4 (P = 0.044) and W8 (P = 0.025), the satisfaction degree at W4 (P = 0.033) and W8 (P = 0.034), as well as the satisfied and very satisfied rates at W4 (P = 0.031) and W8 (P = 0.029) were elevated in the WOEC group versus the control care group. By subgroup analyses, WOEC exhibited favorable effects on reducing mental stress in caregivers of patients with eastern cooperative oncology group performance status at enrollment <3, and in caregivers with an education level of high school & university and above.

Conclusion

WOEC effectively relieves mental stress in caregivers of elderly postoperative CRC patients, and also elevates satisfaction in these patients.

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微信在线教育与护理对老年结直肠癌术后患者护理人员心理困扰及满意度的影响
目的基于微信的护理干预可缓解心理困扰。本研究旨在探讨微信在线教育和护理(WOEC)对护理人员心理健康和老年结直肠癌术后患者满意度的影响:方法:将92名老年结直肠癌术后患者和92名护理人员随机分为WOEC组(46名患者和46名护理人员)和对照护理组(46名患者和46名护理人员)。护理人员接受为期 8 周的相应干预。对护理人员的贝克抑郁量表(BDI)和贝克焦虑量表(BAI)以及患者的自我报告满意度(SRS)进行评估:在护理人员方面,WOEC 组与对照护理组相比,入组后 8 周(W8)的 BDI 评分(P=0.024)和 BAI 评分(P=0.009)、入组后 8 周(W8)的抑郁严重程度(P=0.036)以及入组后 4 周(W4)的焦虑严重程度(P=0.028)和入组后 8 周(W8)的焦虑严重程度(P=0.047)均有所下降。就患者而言,与对照护理组相比,WOEC 组在 W4(P=0.044)和 W8(P=0.025)时的 SRS 评分、W4(P=0.033)和 W8(P=0.034)时的满意度以及 W4(P=0.031)和 W8(P=0.029)时的满意和非常满意率均有所提高。通过亚组分析,WOEC在减轻东部合作肿瘤学组患者入组时表现状态的护理人员的精神压力方面表现出良好的效果 结论:WOEC能有效减轻患者的精神压力:WOEC 可有效缓解老年 CRC 术后患者护理人员的精神压力,并提高这些患者的满意度。
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来源期刊
CiteScore
4.30
自引率
3.70%
发文量
198
审稿时长
42 days
期刊介绍: Clinics and Research in Hepatology and Gastroenterology publishes high-quality original research papers in the field of hepatology and gastroenterology. The editors put the accent on rapid communication of new research and clinical developments and so called "hot topic" issues. Following a clear Editorial line, besides original articles and case reports, each issue features editorials, commentaries and reviews. The journal encourages research and discussion between all those involved in the specialty on an international level. All articles are peer reviewed by international experts, the articles in press are online and indexed in the international databases (Current Contents, Pubmed, Scopus, Science Direct). Clinics and Research in Hepatology and Gastroenterology is a subscription journal (with optional open access), which allows you to publish your research without any cost to you (unless you proactively chose the open access option). Your article will be available to all researchers around the globe whose institution has a subscription to the journal.
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