Effect of a WeChat-based perioperative nursing intervention on risk events and self-management efficacy in patients...

This study aimed to explore the effect of perioperative nursing intervention based on WeChat app on the incidence of risk events and self-management efficacy after thyroid cancer surgery.

A total of 96 patients with thyroid cancer were enrolled and divided into a conventional group (n=49) receiving conventional perioperative nursing intervention and the WeChat app group (n=47) receiving WeChat-based perioperative nursing intervention plus conventional nursing. The Chinese version of Strategies Used by People to Promote Health (C-SUPPH) was used to assess self-management efficacy, and the Self-Assessment Scale for Anxiety (SAS) and the Self-Assessment Scale for Depression (SDS) were used to assess psychological status. The occurrence of risk events, changes in self-management efficacy and psychological status, and the occurrence of adverse events were compared between the two groups.

The risk event rate in the WeChat app group (2.13%) was significantly lower than that of the conventional group (14.29%) (P<0.05). Stress reduction, positive attitudes, and decision-making scores were elevated in both groups after intervention (P<0.05), and were significantly higher in the WeChat app group than in the conventional group (P<0.05). SAS and SDS scores were lower in both groups after intervention (P<0.05), and were significantly lower in the WeChat app group than in the conventional group (P<0.05). The rate of postoperative adverse reactions in the WeChat app group (31.91%) was significantly lower than that in the conventional group (73.47%) (P<0.05).

WeChat app-based perioperative nursing interventions can effectively reduce risk events, improve self-management efficacy, and alleviate adverse emotions of thyroid cancer patients, leading to fewer adverse reactions.