Clinical Report: Impact of WeChat Videos on Self-Care in Ileostomy Patients

Overview

This study evaluates the effectiveness of remote continuous nursing via WeChat short videos on self-care and adaptation in patients with prophylactic ileostomy. Results indicate significant improvements in self-nursing knowledge and ostomy adaptability at multiple follow-up points compared to routine care.

Background

Prophylactic ileostomy is often performed in colorectal cancer patients to facilitate recovery, yet many experience challenges in self-care and adaptation post-surgery. Insufficient preoperative education and inadequate post-discharge support can lead to complications and decreased quality of life. Innovative approaches, such as remote nursing via digital platforms, may enhance patient education and self-management.

Data Highlights

Key Findings

• 160 patients were enrolled in the study.
• The intervention group showed significantly higher self-nursing knowledge at discharge (P < 0.001).
• Self-nursing knowledge remained higher in the intervention group at 6 weeks and 12 weeks post-discharge (P < 0.001).
• Adaptability to ostomy bags was significantly improved in the intervention group at all follow-up points (P < 0.001).
• Routine care alone did not yield significant improvements in self-nursing knowledge or adaptability.

Clinical Implications

Healthcare providers should consider integrating digital platforms like WeChat for continuous nursing support in patients with prophylactic ileostomy. Enhanced patient education through video content may lead to better self-management and adaptation, ultimately improving patient outcomes.

Conclusion

The use of WeChat short videos for remote continuous nursing significantly enhances self-care knowledge and adaptation in patients with prophylactic ileostomy, suggesting a valuable tool for post-discharge support.

References

1. Author(s)/Org, Surgical Endoscopy, 2023 -- Enhancing Stoma Management with the Stoma App
2. Author(s)/Org, Comprehensive Evaluation of the Effects of an Interactive Video Health Program, 2025 -- Quality of Life and Rehabilitation Metrics
3. Author(s)/Org, Techniques in Coloproctology, 2018 -- Introducing the Ostom-i™ Alert Sensor
4. Author(s)/Org, Mitigating Readmissions Due to Dehydration Following Colorectal Surgery, 2024 -- Evaluating the Effects of a Preventive Care Bundle
5. American Society of Colon and Rectal Surgeons, 2022 -- Clinical Practice Guidelines on Ostomy Surgery
6. Examining the Impact of Telehealth Stoma Care Interventions, PMC -- Systematic Review and Meta‐Analysis
7. Study on the impact of WeChat platform continuity care, PMC -- Self-Care Ability in Colostomy Patients
8. CLINICAL PRACTICE GUIDELINESThe American Society of Colon and Rectal Surgeons
9. Examining the Impact of Telehealth Stoma Care Interventions on the Ostomates: A Systematic Review and Meta‐Analysis - PMC
10. Study on the impact of WeChat platform continuity care on complications and self-care ability in colostomy patients - PMC