Abstract
Purpose: To explore the effect of using WeChat platform to assist extended care on the compliance behaviors, health locus of control and quality of life of patients who were undergoing laparoscopic sleeve gastrectomy (LSG) bariatric surgery. Methods: A total of 120 patients from July 2018 to June 2019 in the First Affiliated Hospital of Jinan University were enrolled in the study. 120 patients were randomly divided into control and intervention groups containing 60 patients respectively. In the control group, patients were given routine extended care. In the intervention group, WeChat platform extended care was adopted in addition to routine extended care. The compliance behaviors of patients in the two groups were collected and compared, and health locus of control and quality of life of patients in the two groups before the intervention and 3 months after the intervention were evaluated using the multidimensional health locus of control scale (MHLC) and 36 item short form health survey (SF-36). Results: The compliance rates of the intervention group were higher than those of the control group (P 0.05), but 3 months after the intervention, compared with the control group, the health locus of control and quality of life of the intervention group were significantly improved (P<0.05). Conclusions: Application of WeChat platform to assist extended care is beneficial to the enhanced compliance behaviors, improved health locus of control and quality of life of patients undergoing LSG bariatric surgery.
Highlights
Obesity is one of the major diseases currently endangering the health of patients, which can cause cardiovascular and cerebrovascular diseases and metabolic diseases, and seriously affect the health and quality of life of patients [1]
multidimensional health locus of control scale (MHLC) includes 18 items, divided into 3 subscales: the internal health locus of control scale (IHLC) measures how much people believe they can manage their health; the powerful others health locus of control scale (PHLC) measures how much people trust others to control their health; the chance health locus of control scale (CHLC) measures how much people believe that chance factors can affect their health
Patients undergoing bariatric surgery during hospitalization may maintain good compliance behaviors, because they can obtain scientific and standardized nursing care; but after discharge from the hospital, lacking of nursing instruction and poor self-management ability contribute to their poor compliance behaviors, which affect surgical outcomes [10]
Summary
Obesity is one of the major diseases currently endangering the health of patients, which can cause cardiovascular and cerebrovascular diseases and metabolic diseases, and seriously affect the health and quality of life of patients [1]. The methods to treat obesity include exercise, diet control, drug therapy and surgical treatment. Surgery is the main clinical method to treat obesity, and minimally invasive laparoscopic sleeve gastrectomy (LSG) surgery is one of the most commonly used bariatric surgical procedures, which has a long-term and stable effect on weight loss and can treat or prevent obesity-related metabolic diseases [2]. More and more obese patients are willing to undergo bariatric surgery. Most patients undergoing LSG bariatric surgery are severely obese, and these patients often suffer from psychological problems such as anxiety, depression, eating disorders and addictive personality, which can influence the effect of weight loss [3, 4]. Poor patient compliance with the nursing plan after discharge, such as continuing poor diet, not changing rest and exercise habits, not taking medicine and returning for review on time, are the leading causes of patients' large fluctuations in body mass
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