Effects Of Social Media Health Teaching Method On Self-Care Efficacy Of Post-Colostomy Patients
Keywords:
self-care, WeChat, social media, self-care efficacyAbstract
This quasi-experimental study investigated the effects of a social media-based health teaching intervention, specifically delivered via WeChat, on the self-care efficacy of post-colostomy patients in China. It was conducted at a tertiary hospital in Guangzhou and involved 62 patients who had undergone gastrointestinal surgery. The participants were divided equally into experimental and control groups, with the control group receiving standard pre-discharge education and telephone follow-ups and the experimental group participating in a one-month WeChat-based program offering multimedia self-care content, psychological support, and clinician interaction. Using the General Self-Efficacy Scale (GSES), pre- and post-intervention data revealed that the experimental group showed a statistically significant improvement in self-efficacy compared to the control group (mean score: 25.81 vs. 20.68). These findings show that targeted social media interventions can enhance patients’ confidence in managing their condition and may reduce post-surgical complications. The study also highlights the feasibility and cultural relevance of using WeChat as a platform for health education in Chinese clinical settings. Limitations include a short follow-up period and a non-random sample, suggesting the need for further longitudinal research.
Downloads
References
Almutairi D,LeBlanc K,Alavi A. Peristomal skin complications: what dermatologists need to know [J]. Int J Dermatol,2018, 57 (3):257–264.
Antheunis, M.L., Tates, K., & Nieboer, T.E. (2013). Patients’ and health professionals’ use of social media in health care: motives, barriers and expectations. Patient Education & Counseling, 92 (3): 426−431.
Bray F, Ferlay J, Soerj omataram I, et al.Global cancer statistics 2 0 1 8: GLOBOCAN estimates of incidence and mortality worldwide for 3 6 cancers in 1 8 5 countries[J].CA Cancer J Clin,2 0 1 8,6 8(6):3 9 4–424.
Bandura Albert.Self—efficacy:The exercise of contr01.New York:WH Free man,1997:1.
Bekkers,Van Knippenberg,Van Den Borne,Van Berge-Henegouwen.Prospective Evaluation of Psychosocial Adaption to Stoma Surgery:The Role of Self-Efficacy.Psychosomatic Medicine.1996。58(2);183–191.
Baidu Encyclopedia. (2013). Social media [EB / OL]. Baidu Encyclopedia,
http://baidu.baidu.com/view/2169907.htm.
Bolin, C. (2011). Social media: concept, development process, characteristics and future. Journal of HuNan Radio and Television University, 47 (3): 65−69.
Bai Xiaolong. The effect of individualized extended care based on rain classroom on self-care ability of enterostomal patients[D]. Henan:Zhengzhou University,2023.
Bagnasco, A et al. “Developing a Stoma Acceptance Questionnaire to improve motivation to adhere to enterostoma self-care.” Journal of preventive medicine and hygiene vol. 58,2(2017): E190-E194.
Caikang, W. (2001). General self-efficacy scale. China Behavioral Medical Science, 10(special issue): 185−186.
Chauhan, B., George, R., & Coffin, J. (2012) Social media and you: what every physician needs to know. J Med Pract Manage, 28(3):206–209.
Chunyan, T., et al. (2019). Research on the application of online health Education cloud Platform in health education for obstetric inpatients and outpatients. J Mod Med Health, 35 (13), 1009−5519.
Courtney, K. (2013). The use of social media in healthcare: organizational, clinical, and patient perspectives. Enabling Health and Healthcare through ICT: Available, Tailored and Closer, 183, 244.
Chen Peng, Wu Duo, Yao Chun, et al. Clinical experience of 24 cases of prophylactic terminal ileostomy after Dixon operation for ultra-low rectal cancer[J]. Journal of practical clinical medicine, 2015, 19(21):99.
Chen HQ, Gao W. Application of WeChat follow-up in patients discharged from total hip arthroplasty[J], Nursing Research, 2015, 29(12):1464.
China Internet Network Information Center (CNNIC). (2023). Mobile internet usage among older adults. [Report No. 51]
Dongxiao, L. (2016). Who is spreading health in the era of micro-screen? modern communication. Journal of Communication University of China), 38 (4): 21−26.15. Santoro, E., et al. (2015). Social media and mobile applications in chronic disease prevention and management. Frontiers in Psychology, 6: 1−3.
Ding Yanming. Ostomy nursing [M]. Beijing: published by People's Health Press, 2017.
Family integrated care model. Chinese Nursing Management, 12(5): 18−19.
Fangfang, Q. (2017). Research progress and Thinking on the effect of Orem self-care theory in clinical nursing application in China. Journal of Practical Clinical Nursing, 2 (49): 220−222.
Farnan, J. M., et al (2013). Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Annals of internal medicine, 158(8), 620−627.
Gao Wenjun. Cross-sectional survey of self-efficacy level of enterostomy patients and analysis of its influencing factors [D]. Second Military Medical University, 2012.
Huanye, Y., et al. (2012). The effect of different health education methods on public health information dissemination. Chinese Journal of Pharmaceutical Sciences, 2 (22): 177−182.
Hui, S. & Qiong, W. (2018). Application of continuous nursing based on WeChat platform in patients with cancer pain. 24 (17): 2074−2078.
Han Shu, Lu Lianfang, Wen Zhaoxia et al. Survey on the status quo of self-management of enterostomy patients and analysis of influencing factors [J]. Journal of Qingdao University Medical College, 2014, 50(02): 161.163+166.
Huang Dongmei, Lu Ming, Shen Yao,et al. Application of action-oriented missionary combined with Orem nursing system in patients with permanent colostomy after rectal cancer surgery. Chinese Journal of Modern Nursing, 2021, 27(23):3166–3169. DOI:10.3760/cma.j.cn115682-20210129-00461.
IQVIA Institute. (2017) The growing value of digital health: evidence and impact on human health and the healthcare system. https://www.iqvia.com/institute/reports/the-growing-value-of-digital-health.
Jiggins, K. (2016). A content analysis of the meaningful use clinical summary: do clinical summaries promote patient engagement? Primary Health Care Research & Development, 17, 238–251.
Jiwen, L., Fuye, L., & Yulong, L. (2008). Research on the reliability and validity of social support rating scale. Journal of Xinjiang Medical University, 2(31): 1−3.
Kearny, B. & Fleisher, B. (1979). Development of all instrument measure exercise of self-care agency. Research in Nursing and Health, 2(1): 25−34.
Kehlet, H., & Søballe, K. (2010). Fast-track hip and knee replacement—what are the issues? Acta Orthopaedica, 81(3), 271.
Kolliakou, A., et al.Novel psychoactive substances: an investigation of temporal trends in social media and electronic health records. European Psychiatry, (38)38: 15−21.
Lu Fengqing, Chen Yahong, Zhao Xinming, et al.The application of continuous nursing based on WeChat platform in discharged patients with enterostomy [J]. Chin J Modern Nursing, 2017,2 3 (2 5):3 24 6–3 24 9.
Liu Baoping, Li Lihua, Qiu Zhihong, et al. Research on the application of multimedia technology in disease management of patients with chronic obstructive pulmonary disease. Chinese Primary Medicine, 2018, 25(04):437-441. DOI:10.3760/cma.j.issn.1008-6706.2018.04.008.
Lu Xin, Li Xiaocheng, and Wu Yongrong, Comparative study of surgical resection and radiofrequency ablation in the treatment of colorectal cancer liver metastasis[J], Journal of Practical Clinical Medicine, 2015, 19(15):62.
Li, W., Zhang, Y., & Chen, J. (2021). Psychosocial outcomes in Chinese colostomy patients. Asian Journal of Nursing Studies, 15(2), 112–120.
MacMillan, C. (2013). Social media revolution and blurring of professional boundaries. Imprint, 60(3), 44−46.
Marek, K. D., et al. (2013). Nurse care coordination and technology effects on health status of frail older adults via enhanced self-management of medication. Nursing Research, 62, 269−278.
Min, G. (2008). Effect of systematic self-care intervention on the quality of life of patients with laryngeal cancer. Jilin University.
Min, Z., Yufei, C., & Yan, Z. (2019). Systematic review of social media health information communication behaviors. Library, (5):033 — 040, 079.
Monsen, R.B. (1992). Autonomy, coping, and self-care agency in healthy adolescents and in adolescents with spina bifida. Journal of Pediatric Nursing, 7(1): 9−13.
Nielsenwire. Social networks/blogs now account for one in every four and a half minutes online. http://blog.Nielsen.com/nielsenwire/global/socialmedia-accounts-for-22-Percent-of-time-online.
Marinez A C, Gonzalez E, Holm K, et al. Stoma-related symptoms in patients operated for rectal cancer with abdomi-noperineal excision [J]. International Journal of Colorectal Disease, 2016, 31 (3): 635–641.
Ning-ning, G. (2011). Study on the effect of health education based on Orem self-care theory on self-care ability of patients with peptic ulcer. Tianjin Medical University.
Orem, D.E. (2001). Nursing: concept of practice (6th ed.). Mosby, 145−146.
Osborne-Gowey, J. (2014). What is social media? Fisheries, 39 (2): 55.
Persson E., Gustavsson B., Hellstrom A., et al. Ostomy patients perception of quality of care [J]. J Adv Nurs, 2005, 49 (1): 1–-8.
Posthauer, M. (2014). Nutrition: fuel for pressure ulcer prevention and healing. Nursing, 44 (12) 67−69. doi: 10.1097/01.NURSE.0000456389.22724.ef.
Pan Baoying, He Xiaoxia, Yang Hongjuan, et al. Analysis of the impact of the whole seamless care based on WeChat interactive platform on the coping style, stigma and self-care ability of enterostomal patients. International Journal of Nursing, 2020, 39(03):483-486. doi:10.3760/cma.j.issn.1673-4351.2020.03.032.
Pan, B., He, X., & Yang, H. (2020). WeChat-based self-management for ostomy patients: A randomized controlled trial. Journal of Nursing Intervention, 12(3), 45–52.
Qi, P., et al. (2013). Effects of self-management education on self-care ability and quality of life of patients with permanent colostomy. International Journal of Nursing, 32 (9): 2085−2087.
Qian, C. & Jianghua, L. (2010). ESE model of diabetes self-care. China Practical Medicine, 5 (30): 243−245.
Qi Yue, Qin Jie, Qiu Kunpeng, et al. Effect of SMS education on anxiety and self-care ability of patients after colostomy for rectal cancer[J]. PLA Nursing Journal, 2013, 30(10):10.
Riegel, B. & Dickson, V. (2008). A situation-specific theory of HF self-care. J Cardiovasc Nurs, 23: 190−196.
Robben, S., et al. (2012). Implementation of an innovation web-based conference table for community-dwelling frail older people, their informal caregivers and professional: a process evaluation. BMC Health Serv Res, 12(1): 251−262.
Robinson-Smith, G. & Pizzi, E.R. (2003). Maximizing stroke recovery using patient self-care self-efficacy. Rehabilitation Nursing, 28(2): 48−51.
Ren Ruifang, Huang Zhenfeng, Zhang Xi. The effect of WeChat follow-up on postoperative quality of life of colostomy patients[J]. Hospital Management Forum, 2014, 31(4):37.
Santoro, E., et al. (2015). Social media and mobile applications in chronic disease prevention and management. Frontiers in Psychology, 6: 1−3.
Shuying, C., Fuyuan,, L, & and Yuhui, Z. (2015). Observation on the effect of nursing intervention for diabetic patients after discharge by using mobile phone WeChat. Contemporary Nurses, (5): 34−36.
Smeulders, E.S., et al. (n.d.). Feasibility of a group-based self-management program among congestive heart failure patients. Heart Lung. 38: 499−512.
Sun, Q. (2006). Research on the meaning, characteristics and application of Web 2.0. Modern Intelligence, (2): 69−74.
Statista. (2020), Most popular social networks worldwide as of October 2020, ranked by number of active users. https://www.statista.com/statistics/272014/global-social-networks-ranked-by-number-of-users/.
Sun V,Ercolano E,McCorkle R,et al. Ostomy telehealth for cancer survivors:Design of the Ostomy Self-management Training (OSMT) randomized trial. Contemp Clin of Trials. 2018: 64: 167–172.
Statista. (2024). Social media penetration in China.
Seo HW. Effects of the frequency of ostomy management reinforcement education on self-care knowledge, self-efficacy, and ability of stoma appliance change among Korean hospitalized ostomates. Int Wound J. 2019 Mar;16 Suppl 1(Suppl 1):21–28.
Thackeray, R., et al. (2008). Enhancing promotional strategies within social marketing programs: use of Web 2.0 social media. Health Promot Pract, 9: 338−343.
Upchurch, S. & Mueller, W.H. (2005). Spiritual influences on ability to engage in self-care activities among older African Americans. Int J Aging Hum, 60(l):77−94.
Wee, S. & Vrijhoef, H. (2015). A conceptual framework for evaluating the conceptualization, implementation and performance of transitional care programmes. J Eval Clin Pract, 21(2): 221−228.
Weijun, W. & Jun, S. (2007). Overview of research and application of Web 2.0. Information Science,25 (12): 1907−1913.
Weil, A.R. (2016). The patient engagement imperative. Health Affairs, 35, 563.
Wen, H., Shaochun, C., & Li, Z. (2011). Influence of Orem self-care model on self-management behavior of diabetic patients. International Journal of Nursing, 30 (1): 21−24.
Wendel-Vos, W., et al. (2007). Potential environmental determinants of physical activity in adults: a systematic review. Obes Rev, 8(5): 425−440.
Wilson, P.M., Kendall, S., & Brooks, F. (2006). Nurses' responses to expert patients: the rhetoric and reality of self-management in long-term conditions: a grounded theory study. Int J Nurs Stud, 43: 803−818.
Wiseman, J., et al. (2015). Conceptualizing smart-phone use in outpatient wound assessment: patients' and caregivers' willingness to use technology. J Surg Res, 198(1): 245−251.
Xiao, S. (1994). Theoretical basis and research application of social support rating scale. Journal of Clinical Psychiatry, 4 (2): 98−100.
Xiaohua, Z., et al. (2015). Health monitoring and management system for diabetes after hospital based on cloud platform. Medical and Health Equipment, 36(4): 56−59.
Xiaoling, J., Huihui, F.,& Zhongyun, Z. (2017). Research on health information transmission behavior in WeChat circle of friends. Management Science, 30 (1): 73−82.
Xiaoshen, C. (2009). Health communication research in China: based on the investigation and analysis of government health departments. Communication University of China Press, 19.
Xiaoyan, O. (2010). Effect of self-efficacy intervention on self-care ability of patients with myocardial infarction. Proceedings of the Conference Ed., 235−237.
Xu, N., et al. (2015). Assessment of colostomy patient's nursing query after discharge based on Qmaha question classification system. Nursing Journal of Chinese People's Liberation Army, 32(3):14−17.
Xu Junmin, Fang Yanchun, Huang Yalian et al. Discharge planning intervention with a family-centered empowerment model for patients with prophylactic enterostomies [J]. Journal of Nursing, 2020, 35(08):30.33.
Yali, S., et al. (2014). The effect of continuous nursing care on self-care ability of patients with permanent colostomy. Nursing Research, 28 (14): 1685−1688.
Yuan Kaitao, Ma Jinping. Long term prognosis of total mesorectal excision for rectal cancer [J]. Chinese Journal of gastrointestinal surgery, 201 8,21 (3): 29 1
Yan, Y. (2009). Investigation and analysis of quality of life and self-efficacy of rectal cancer patients undergoing colostomy. Journal of Nursing Management, 9 (11): 16−17.
Yanzhong, Y., Weixing, S., & Liangwen, X. (2004). Self-efficacy enhancement: an idea and method of clinical nursing. Chinese Journal of Nursing, 39(5): 393−395.
Yinghong, T., et al. (2019). Discussion on the application effect of internet health education platform in interventional therapy of liver cancer patients. Medical Frontier, 9 (14): 218−219.
Youqiang, L. (2017). From mass media to social media: the development trend and enlightenment of health promotion by modern media in the United States. Sports science, 37 (6): 52−61.
Yun, L. (2013). The influence of self-efficacy and self-care joint intervention on the quality of life of postoperation patients with laryngeal carcinoma. Bengbu Medical College.
Yun, L. The influence of self-efficacy and self-care joint intervention on the quality of life of postoperation patients with laryngeal carcinoma. Bengbu Medical College.
Yuan Yuyan, Yang Fuguo, Wang Shuyun, et al. Mediating effects of coping styles between disability acceptance and quality of life in patients with permanent enterostomies [J]. Journal of Nursing, 2016, 31 (14): 26–29.
Yang Daming. Evaluation of the effect of empowerment education on the self-care ability of home-based permanent enterostomy patients[D]. Yanbian University, 2021.
Zhang M F, Zheng M C, Liu W Y, et al. The influence of demographics, psychological factors and self-efficacy on symptom distress in colorectal cancer patients undergoing postsurgical adjuvant chemotherapy[J]. Eur J Oncol Nurs, 2015, 19(1):89-96.
Zhang J.C. & Wu, Y. (2016). Research progress in the application of social media in the field of medical care. Chinese Journal of Nursing, 51(2): 206−210.
Zongyi, L. & Jie, X. (2014). Propagation, sharing, and meaning construction of WeChat: a literature review. Chongqing Social Sciences, (1): 97−101.
Zhu Qinghong. Analysis of factors affecting self-care ability of colostomy [J]. Practical clinical medicine, 2015, 16(06):82-83+100.
Zheng Meichun, Deng Yijun, Zhang Huixin et al. Correlation study of stoma self-care ability and hope level in colostomy patients[J]. Journal of Nursing Management, 2014, 14(6):393–395.
Zhang Jun'e, Lu Lin, Huang Manrong et al. Research on the effect of comprehensive extended care on discharged early cancer colostomy patients[J]. China Nursing Management,2017,17(4):453–457.
Zhao Yuhua, Wang Junxia, Wu Tianrui. Research progress on discharge readiness of enterostomy patients[J]. Journal of Nursing Management,2020,20(11):790–794.
Zheng Lilan, Xie Chunlian, Tang Yuhua et al. Effect of self-efficacy training on self-care ability and quality of life of permanent colostomy patients[J]. Jiangxi Medicine,2016,51(09):898–901.
Zhang Fang., Ya Ning, & Zhao Hua. (2016). Impact of out-of-hospital WeChat platform follow-up on self-care ability of rectal cancer stoma patients. Journal of practical clinical medicine, 20(4), 4.
Zhang T, Wang GH, Yao CX, Effect of telephone intervention on self-care of patients after colostomy for low rectal cancer[J]. Hebei Medicine, 2014, 36(7):1098
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.