The value of remote continuous nursing based on WeChat short videos for patients with prophylactic ileostomy

Purpose To explore the effects of remote continuous nursing based on WeChat short videos on the self-nursing ability and adaptation level of patients with prophylactic ileostomy. Methods Patients who had undergone radical surgery for colorectal cancer followed with prophylactic ileostomy were enrolled and equally divided into two groups. The control group received routine nursing care of prophylactic ileostomy, while the intervention group received remote continuous nursing through a phased series of WeChat short videos in addition to routine nursing care. Patient mastery level of self-nursing knowledge and adaptability for ostomy were evaluated at discharge, 6 weeks after discharge, and 12 weeks after discharge. Results A total of 160 patients with prophylactic ileostomy were included. Compared to patients who only received routine nursing care, routine nursing care plus WeChat video-based remote continuous nursing resulted in a significantly higher level of self-nursing knowledge of ileostomy at discharge ( P < 0.001). The intervention group also maintained a higher level of ostomy self-nursing knowledge at the 6th week ( P < 0.001) and 12th week ( P < 0.001) after discharge. Compared to patients in the control group, the adaptability to an ostomy bag of patients in the intervention group was significantly improved at discharge ( P < 0.001), the 6th week ( P < 0.001), and the 12th week ( P < 0.001) after discharge. Conclusion The remote continuous nursing system based on a phased series of WeChat short videos studied can improve the mastery of self-nursing and adaptation to ostomy bags for patients with preventive ileostomy, thereby improving their quality of life.