微信平台随访促进老年早期胃癌及癌前病变内镜黏膜下剥离术后病人随访依从性的研究

doi:10.3969/j.issn.1003-9198.2021.07.015

Abstract

Abstract: Objective To investigate the effect of follow-up via WeChat on the compliance of the elderly patients with early gastric cancer or precancerous lesions after endoscopic submucosal dissection (ESD). Methods A total of 307 elderly patients with early gastric cancer or precancerous lesions who underwent ESD from January to September 2019 in our hospital were enrolled. The patients before June 1, 2019 were assigned into the control group(n=166) receiving routine outpatient service and telephone follow-up, the patients after June 1,2019 were assigned into observation group(n=141) receiving WeChat follow-up.Postoperative consultation, compliance of regular endoscopic reexamination and Hp eradication were analyzed between the two groups. The follow-up satisfaction of WeChat platform in the observation group and medical staff was recorded. Results The pathological results (25.1%), registration for reexamination (24.1%), diet (16.9%), medication (15.0%), and discomfort response (14.0%) were the most common questions consulted by the patients with early gastric cancer or precancerous lesions after ESD . In addition,the questions of consultation were changed with the time after surgery. The compliance of endoscopic reexamination 3, 6 months after surgery and Hp eradication in the observation group were significantly higher than those in the control group(71.6% vs 57.8%,38.3% vs 27.7%,70.3% vs 46.9%,respectively,all P<0.05). Univariate analysis showed that follow-up of WeChat platform and living in urban areas could improve the patients' compliance with regular endoscopic reexamination (P<0.01). The patients with WeChat platform follow-up and family history of tumor showed better compliance with Hp eradication (P<0.05). All medical staffs and 87.9% of the patients were satisfied with the follow-up by WeChat platform. Conclusions The follow-up via WeChat can promote the compliance of the elderly patients with early gastric cancer or precancerous lesions after ESD with high satisfaction of the patients and the medical staffs.

Key words: early gastric cancer, precancerous lesions, WeChat, endoscopic submucosal dissection, follow-up compliance

CLC Number:

R 735.2

XU Zhen-zhen, JIANG Jing-wei, XU Gui-fang, LI Wen, YANG Hua, TENG Yu-fang, YANG Jin-ping. Study on follow-up via WeChat to promote compliance of elderly patients with early gastric cancer and precancerous lesions after endoscopic submucosal dissection[J]. Practical Geriatrics, 2021, 35(7): 722-726.

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Study on follow-up via WeChat to promote compliance of elderly patients with early gastric cancer and precancerous lesions after endoscopic submucosal dissection

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