Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure

doi:10.12998/wjcc.v9.i34.10576

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World Journal of Clinical Cases

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World J Clin Cases. Dec 6, 2021; 9(34): 10576-10584
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10576

Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure

Zhan-Ru Wang, Jia-Wu Zhou, Xiao-Ping Liu, Guo-Juan Cai, Qi-Hong Zhang, Jun-Fang Mao

Zhan-Ru Wang, Department of Critical Care Medicine, Shaoxing Hospital of China Medical University, Shaoxing 312000, Zhejiang Province, China

Jia-Wu Zhou, Xiao-Ping Liu, Department of Emergency Medicine, Shaoxing Hospital of China Medical University, Shaoxing 312000, Zhejiang Province, China

Guo-Juan Cai, Qi-Hong Zhang, Jun-Fang Mao, Department of Emergency Medicine, Zhuji People's Hospital of Zhejiang Province, Zhuji 311800, Zhejiang Province, China

Author contributions: Wang ZR and Zhou JW designed the study; Liu XP drafted the work; Cai GJ and Zhang QH collected the data; Mao JF and Wang ZR analyzed and interpreted the data; Wang ZR, Zhou JW, and Mao JF wrote the article.

Institutional review board statement: This study was approved by the Shaoxing Hospital of China Medical University Ethics Committee.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: The authors declare that there is no conflict of interest to disclose.

Data sharing statement: No additional data are available.

Corresponding author: Jun-Fang Mao, MD, Chief Nurse, Department of Emergency Medicine, Zhuji People's Hospital of Zhejiang Province, No. 9 Jianmin Road, Zhuji 311800, Zhejiang Province, China. maojunfang2021@163.com

Received: August 6, 2021
Peer-review started: August 6, 2021
First decision: September 1, 2021
Revised: September 8, 2021
Accepted: October 15, 2021
Article in press: October 15, 2021
Published online: December 6, 2021
Processing time: 116 Days and 1.8 Hours

ARTICLE HIGHLIGHTS

Research background

The prevalence of chronic heart failure in China continues to rise. Continuing nursing care is an emerging nursing model that is an extension of hospital care. WeChat is a common and good real-time social application with high interactivity and is utilized frequently in the medical field

Research motivation

This study explored the impact of WeChat platform-based health management on the treatment of patients with severe chronic heart failure.

Research objectives

The study aimed to explore the significance of health management based on WeChat platform in the treatment of patients with severe chronic heart failure.

Research methods

In May 2017, a group study of 120 patients with chronic heart failure grade III-IV heart function classified by the New York Heart Association was conducted at our hospital.

Research results

The left ventricular ejection fraction, stroke output, and 6-min walking distance (6MWD) increased, and the high-sensitivity cardiac troponin (hs-cTnT) and N-terminal pro B-type natriuretic peptide (NT-proBNP) decreased in both groups, as compared to those before the intervention. Further, cardiac function during the 6MWD, hs-cTnT, and NT-proBNP improved significantly in the observation group after intervention (P < 0.05).

Research conclusions

Health management based on the WeChat platform can improve the self-care ability and compliance of patients with severe chronic heart failure, reduce the occurrence of adverse cardiovascular events, and avoid rehospitalization.

Research perspectives

Health management based on the WeChat platform can play a greater role in the treatment of cardiovascular diseases.