Effect of the Use of WeChat to Disseminate Preoperative Health Education to Parents of Children with Restrictive Ventricular Septal Defects: A Prospective Randomized Controlled Study

Health education via WeChat

Authors

  • Qi-Liang Zhang Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Ning Xu Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Shu-Ting Huang Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Qiang Chen Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China
  • Hua Cao Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China

DOI:

https://doi.org/10.1532/hsf.3323

Keywords:

health education, preoperative care, restrictive ventricular septal defect, WeChat

Abstract

Background: This study explored the clinical effect of implementing WeChat-based preoperative health education for parents of children with restrictive ventricular septal defect.

Methods: A prospective randomized controlled study was conducted in a provincial hospital on the southeast coast of China. Participants were randomly divided into an intervention (WeChat) group (n = 35) and a control group (leaflet) group (n = 35). The study explored the parents’ knowledge of preoperative care, the follow-up rate, and complications of children with restrictive ventricular septal defect.

Results: The score of preoperative care knowledge of the WeChat group (66.9 ± 3.5) was significantly higher than that of the leaflet group (47.3 ± 6.3) (P = .006). Compared with the score of care knowledge at the first visit, the score of the WeChat group at the preoperation was significantly higher (P < .05), whereas the increase in the score of the leaflet group was not significant. The rate of lost follow-up in the WeChat group (0%) was significantly lower than in the leaflet group (16.7%) (P = .02). The complications in the leaflet group were significantly higher than in the WeChat group.

Conclusions: Using WeChat to provide preoperative health education to parents of children with restrictive ventricular septal defect can effectively enhance the parents’ knowledge of preoperative care and reduce the occurrence of complications and loss to follow-up.

References

Anderson RH, Becker AE, Tynan M. Description of ventricular septal defects or how long is a piece of string? Int J Cardiol 1986;13:267-278.

Berg K, Arestedt K, Kjellgren K. Post-operative recovery from the perspective of day surgery patients: A phenomenographic study. Int J Nurs Stud 2013;50:1630-1638.

British Cardiac Society Working Party. Grown-up congenital heart (GGCH) disease:current needs and provision of service for adolescents and adults with congenital heart disease in the UK. Heart 2002;88(suppl 1):11-14.

Feng S, Liang Z, Zhang R, Liao W, Chen Y, Fan Y, Li H. Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery: A 3-month follow-up study. Eur Arch Otorhinolaryngol 2017;274:1477-1485.

Gabarron E, Wynn R. Use of social media for sexual health promotion: A scoping review. Glob Health Action 2016;9:321193.

Hafiji J, Salmon P, Hussain W. Patient satisfaction with post-operative telephone calls after Mohs micrographic surgery: A New Zealand and U.K. experience. Br J Dermatol 2012;167:570-574.

Hoedebecke K, Beaman L, Mugambi J, et al. Health care and social media: What patients really understand? F1000 Res 2017;6:118.

Hoffman JL, Kaplan S. The incidence of congenital Heart disease. Am Coll Cardiol 2002;39:1890-1900.

Kokol P, Blaun Voner H, Saranto K. Co-operation and co-funding networks in ehealth research. Stud Health Technol Inform 2016;225:950-951.

Liu X, Luo H, Zhang L, Leung FW, Liu Z, Wang X. Telephone-based reeducation on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: A prospective, colonoscopist-blinded, randomised, controlled study. Gut 2014;63:125-130.

Longinette E, Manoharan V, Ayoub H, Surkan PJ, El-Khatib Z. Utilization of social media and web forums by HIV patients: A cross-sectional study on adherence and reported anxiety. Prev Med Rep 2017;6:137-143.

Lyu KX, Zhao J, Wang B, et al. Smartphone application WeChat for clinical follow-up of discharged patients with head and neck tumors: A randomized controlled trial. Chin Med J (Engl) 2006;129:2816-2823.

Mihalko MC. We need to talk: The impact on care when electronic communication replaces verbal communication between clinicians. J Pediatr Nurs 2015;30:626-627.

Puszkiewicz P, Roberts AL, Smith L, Wardle J, Fisher A. Assessment of cancer survivors’ experiences of using publicly available physical activity mobile application. JMIR Cancer 2011;2:1-19.

Wei H, Roscigno CI, Hanson CC, Swanson KM. Families of children with congenital heart disease: A literature review. Heart Lung 2015;44:494-511.

Wiechec M, Knafel A, Nocun A. Prenatal detection of congenital heart defects at the 11-week to 13-week scan using a simple color Doppler protocol including the 4-chamber and 3-vessel and trachea views. J Ultrasound Med 2015;34:585-594.

Xing Q, Pan S, An Q, Zhang Z, Li J, Li F, Wu Q, Zhuang Z. Minimally invasive perventricular device closure of perimembranous ventricular septaldefect without cardiopulmonary bypass:multicenter experience and mid-term follow-up. J Thorac Cardiovasc Surg 2010;139:1409-1415.

Xu J. Application of WeChat Public Platform in the Health Education of the Hospital. Health Educ China 2015;31:86-87.

Zhu D, Gan C, Li X, An Q, Luo S, Tang H, Feng Y, Lin K. Perventricular device closure of perimembranous ventricular septal defect in pediatric patients: Technical and morphological considerations. Thorac Cardiovasc Surg 2013;61:300-306.

Published

2020-12-02

How to Cite

Zhang, Q., Xu, N., Huang, S., Chen, Q., & cao, hua. (2020). Effect of the Use of WeChat to Disseminate Preoperative Health Education to Parents of Children with Restrictive Ventricular Septal Defects: A Prospective Randomized Controlled Study: Health education via WeChat. The Heart Surgery Forum, 23(6), E897-E901. https://doi.org/10.1532/hsf.3323

Issue

Section

Articles