Effects of continuous nursing based on the WeChat platform in neonates after enterostomy：a single centre retrospective cohort study

Abstract Background: Nursing after neonatal enterostomy is difficult for many families. A reasonable and efficient mode of continuous nursing management after neonatal enterostomy is a major and difficult issue that urgently need be addressed clinically. The purpose of this research was to analysis the effects of continuous nursing based on the WeChat platform in neonates after enterostomy. Methods: Neonates who underwent enterostomy from January 2014 to December 2020 in our hospital were retrospective analysied. According to the nursing mode, the patients were divided into the traditional nursing group and the continuous nursing group. Peri-stomal skin was evaluated with DET scale. Mental status of families was evaluated with SAS and SDS. Results: There were 143 patients in the traditional nursing group and 165 in the continuous nursing group. No statistically significant differences were found in demographic information between the two groups. The continuous nursing group has an obviously lower DET score for peri-stomal skin than the traditional nursing group (P=0.003). Three months after discharge from the hospital, the continuous nursing group replaces 7.2±1.8 ostomy bags every week, much fewer than the traditional nursing group (P=0.002). For SAS score and SDS score three months after discharge, the continuous nursing group considerably outperforms the traditional nursing group. Conclusions: The continuous nursing based on the WeChat can effectively improve nursing quality for neonatal stoma after discharge. The patients’ families also receives proper psychological counseling to relieve their anxiety and depression and improve the patients’ life quality.