Impact of TTM-oriented health promotion and education method based on WeChat platform on positive emotions, negative emotions, and self-care ability of patients with ulcerative colitis

BACKGROUND

Ulcerative colitis (UC) has a long course and is prone to recurring attacks, which affects the emotional state and quality of life of patients. Improving the disease awareness and self-care ability of UC patients has an important role in the prevention and treatment of UC. At present, the WeChat platform is commonly used clinically as a medium to carry out health education and education for discharged patients, but the content is mostly limited to basic nursing, and the effect of the education is not satisfactory.

AIM

To investigate the impact of WeChat platform-based health education method based on the transtheoretical model and stages of change (TTM) on the positive emotions, negative emotions, and self-care of patients with UC.

METHODS

A total of 63 UC patients admitted to our hospital between January 2019 and February 2020 were selected and divided into a control group of 31 cases and an observation group of 32 cases according to the random number table method. In the control group, the WeChat platform was used for regular health education, and the WeChat platform-based TTM-oriented health education method was used in the observation group. The scores of positive and negative emotions, self-care ability, quality of life, bloody stool, and recurrence were compared between the two groups before intervention and 24 wk after intervention.

RESULTS

After the intervention, the positive emotion scores of the two groups increased, while the negative emotion scores decreased. The positive emotion scores were higher and the negative emotion scores were lower in the observation group than in the control group (P < 0.05). After the intervention, the total score and scores of all dimensions of the Self-Care Ability Scale (ESCA) increased in both groups; the increases in the observation group were higher than those of the control group (P < 0.05). The total score and scores of all dimensions of inflammatory bowel disease quality of life questionnaire (IBDQ) increased in both groups after intervention; and the increases in the observation group were higher than those of the control group (P < 0.05). The bloody stool recurrence rate (6.25% vs 29.03%) and UC recurrence rate (0 vs 22.58%) in the observation group within 24 wk were lower than those of the control group, and the times to bloodless stool recurrence and UC recurrence were longer than those of the control group (P < 0.05).

CONCLUSION

The TTM-oriented health education method based on the WeChat platform can enhance the positive emotions, reduce the negative emotions, improve the self-care ability, improve the quality of life, and reduce the risk of recurrence in UC patients.