The Effect Of Knowledge,Attitude And Behavior Health Education Model Based On We-chat Platform On Self-efficacy Of Discharged Patients With T Tube

Objective:Objective:to construct a knowledge,attitude and behavior health education model based on We-chat platform and to evaluate its influence on the knowledge,attitude and behavior,self-efficacy and self-nursing ability of discharged patients with T-tube.To explore the feasibility of its application in the health education of discharged patients with T-tube,and to provide empirical evidence for development of clinically effective health education for patients discharged with T-tubes.Methods:Methods:120 patients with choledocholithiasis selected at one of the top three hospitals in Hunan province were randomly divided into intervention group and control group,and 60 cases in each group.Multi-disciplinary team cooperation built the model of knowledge,attitude and behavior health education based on We-chat platform,the control group was given routine health education;On the basis of conventional health education,the intervention group increased knowledge,attitude and behavior health education based on the We-chat platform.Questionnaires were conducted on the day of discharge and one month after discharge.Analysis and comparison of the two groups of patients’ general information,T-tube daily management knowledge,attitude and behavior situation,self-efficacy score,self-care ability score,T-tube related complications,T-tube related outpatient visits and outpatient expenses.Data were analyzed by SPSS21.0.Results:① There was no statistically significant difference between the two groups in terms of gender,age,medical insurance,marital status,and other general data,and they are comparable(P>0.05).② Before intervention(when discharged),the scores of three dimensions of T tube daily management was compared between the two groups.The difference was not statistically significant(P>0.05);After intervention of both groups of patients(at the time of discharge at 1 month),the scores of the three dimensions of knowledge and belief in the daily management of T tube in the two groups were higher than those before the intervention(P<0.05),The difference was statistically significant;after the intervention(at the time of discharge at 1 month),the scores of the intervention group were significantly higher than those before the intervention(P<0.05).The scores of three dimensions of knowledge,belief and behavior in patients were higher than those in control group.The difference was statistically significant(P<0.05).③ There was no significant difference in the scores of self-efficacy between the two groups before intervention(at discharge from hospital)(P>0.05),and the scores of self-efficacy after intervention(at the time of discharge at 1 month)were higher than those before intervention.The difference was statistically significant(P<0.05);and after intervention(at the time of discharge at 1 month),the scores of self-efficacy of the patients in the intervention group were higher than those in the control group,the difference was statistically significant(P<0.05).④ The scores of self-concept,self-responsibility,self-nursing skills and health knowledge were compared between the intervention group and the control group before the intervention,and the difference was not statistically significant(P>0.05).The scores of self-concept,self-responsibility,self-nursing skills and health knowledge in the intervention group and the control group were higher than those before the intervention,and the difference was statistically significant(P<0.05);The scores of self-concept,self-responsibility,self-nursing skills and health knowledge in the intervention group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).⑤ There were no unplanned extubation and blockage in the intervention group and control group,and the length of drainage tube was prolonged and the number of T-tube related dermatitis cases in the intervention group was lower than that in the control group,but there was no significant difference(P>0.05);and the number of infection cases in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).⑥ The number of outpatient visits(except drainage tube washing and extubation)and outpatient expenses(except contrast agent)in the intervention group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:①Intervention through the knowledge,attitude and behavior health education model based on the We-chat platform can improve T tube related knowledge,belief and behavior ability of discharged patients with T tube.②The self-efficacy of discharged patients with T-tube can be effectively improved by the intervention of the knowledge,attitude and behavior health education model based on the We-chat platform.③The self-care ability of discharged patients with T-tube can be effectively.improved by the intervention of the knowledge,attitude and behavior health education model based on We-chat platform.④The intervention through the knowledge,attitude and behavior health education model based on the We-chat platform can reduce infection rate of discharge patients with T tube.⑤The intervention through the knowledge,attitude and behavior health education model based on the We-chat platform can reduce the number of outpatient visits and the outpatient expenses.