Effectiveness of telephone and WeChat follow-up in patients discharged from hospital with retained chest drains after stage Ⅲ tuberculous empyema surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YUAN Ye ¹ , WANG Ning ² , JIA Shuang ¹ , LI Dan ¹ , ZHOU Jun ¹ ,  YAO Xiaojun ¹

1. Department of Thoracic Surgery, Public Health Clinical Center of Chengdu, Chengdu, 610061, P. R. China;
2. Department of Public Health, Chengdu Medical College, Chengdu, 610084, P. R. China;

Corresponding?author：

YAO Xiaojun, Email: flyingyao@163.com

Keywords：

Tuberculous empyema; follow-up; telephone; Wechat; quality of life; efficacy observation

DOI：

10.7507/1007-4848.202307054

Video：

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Objective To investigate the efficacy of combined telephone and WeChat follow-up for patients discharged with an indwelling closed thoracic drainage tube after surgery for stage Ⅲ tuberculous empyema. Methods Patients with stage Ⅲ tuberculous empyema who were discharged with an indwelling drainage tube from the Department of Thoracic Surgery, Public Health Clinical Center of Chengdu, between November 2021 and November 2022 were enrolled in this study. They were divided into an observation group (combined telephone and WeChat follow-up) and a control group (telephone-only follow-up). The quality of life (QoL), treatment adherence, and recovery outcomes were compared between the two groups. Results A total of 81 patients were included. The observation group consisted of 49 patients (31 males, 18 females) with a mean age of (38.63±15.86) years. The control group consisted of 32 patients (27 males, 5 females) with a mean age of (36.91±17.33) years. The observation group showed significantly better postoperative QoL outcomes in the domains of physical functioning, emotional functioning, physical symptoms, global health status, and overall QoL compared to the control group (all P<0.05). Regarding treatment adherence, the observation group demonstrated superior performance in daily activity duration, use of a respiratory trainer, and adherence to coughing exercises compared to the control group (all P<0.001). The duration of chest tube indwelling was significantly shorter in the observation group (P<0.001). Furthermore, the observation group showed better recovery in albumin and hemoglobin levels (both P<0.05). Conclusion A combined telephone and WeChat follow-up approach can significantly improve the QoL and treatment adherence for patients discharged with an indwelling drainage tube. This method effectively shortens the duration of postoperative tube drainage, promotes nutritional recovery, and accelerates overall postoperative rehabilitation.

Citation： YUAN Ye, WANG Ning, JIA Shuang, LI Dan, ZHOU Jun, YAO Xiaojun. Effectiveness of telephone and WeChat follow-up in patients discharged from hospital with retained chest drains after stage Ⅲ tuberculous empyema surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(10): 1432-1437. doi: 10.7507/1007-4848.202307054 Copy

1.	Xia Z, Zheng S, Shi Q, et al. Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema. J Int Med Res, 2023, 51(5): 3000605231169901.
2.	Sun W, Yin G, Cai H, et al. The efficacy and safety of uniportal video-assisted thoracic surgery on the treatment for stage Ⅱ-Ⅲ tuberculous empyema: a single-arm clinical retrospective study from 2016 to 2021 in a thoracic surgery center in China. BMC Pulm Med, 2022, 22(1): 398.
3.	蔣鈺輝, 戴希勇, 申磊. 單孔胸腔鏡與開胸纖維板剝脫術治療慢性結核性膿胸的比較. 中國微創外科雜志, 2023, 23(2): 98-102.Jiang YH, Dai XY, Shen L. A comparative study between uniportal video-assisted thoracoscopic decortication and thoracotomy decortication for the treatment of chronic tuberculous empyema. Chin J Min Inv Surg, 2023, 23(2): 98-102.
4.	Potzger T, Ried M, Hofmann HS. Decortication in pleural empyema: reasonable effects on lung function? Zentralbl Chir, 2016, 141 Suppl 1: S18-S25.
5.	中華醫學會結核病學分會. 中國耐多藥和利福平耐藥肺結核外科治療專家共識(2022年版). 中華結核和呼吸雜志, 2023, 46(2): 111-120.Chinese Society for Tuberculosis, Chinese Medical Association. Expert consensus on surgical treatment of multidrug-resistant and rifampicin-resistant pulmonary tuberculosis in China (2022 edition). Chin J Tuberc Respir Dis, 2023, 46(2): 111-120.
6.	賈霜, 宋毅杰, 吳邦貴, 等. 胸腔鏡胸膜剝脫術在治療Ⅲ期結核性膿胸中的臨床應用. 中華結核和呼吸雜志, 2023, 46(5): 474-479.Jia S, Song YJ, Wu BG, et al. Efficacy of video-assisted thoracoscopic surgical decortication for stage Ⅲ tuberculous empyema. Chin J Tuberc Respir Dis, 2023, 46(5): 474-479.
7.	陳妹英. 探析多學科合作的延續護理對卵巢癌患者心理狀態和生活質量的影響. 當代護士(下旬刊), 2021, 28(2): 91-93.Chen MY. To explore the influence of multidisciplinary cooperation on the psychological state and quality of life of ovarian cancer patients. Modern Nurse, 2021, 28(2): 91-93.
8.	蘇曉寧, 鄭建清, 陳櫻. SF-36量表和EORTC QLQ-LC43量表在肺癌患者生活質量測定中的應用效果. 中國衛生標準管理, 2023, 14(9): 114-120.Su XN, Zhen JQ, Chen Y. Application effect of SF-36 scale and EORTC QLQ-LC43 scale in quality of life measurement of lung cancer patients. China Health Stand Manag, 2023, 14(9): 114-120.
9.	畢麗. 循證護理干預模式在結核性膿胸手術患者中的應用效果. 中國醫藥指南, 2022, 20(18): 133-135.Bi L. Application effect of evidence-based nursing intervention mode in patients with tuberculous empyema surgery. Guide China Med, 2022, 20(18): 133-135.
10.	Qiu Y, Qin H, Ying M, et al. WeChat-based health education to improve health knowledge in three major infectious diseases among residents: a multicentre case-controlled protocol. BMJ Open, 2020, 10(11): e037046.
11.	Zou P, Huang A, Luo Y, et al. Effects of using WeChat/WhatsApp on physical and psychosocial health outcomes among oncology patients: a systematic review. Health Inform J, 2023, 29(1): 14604582231164697.
12.	Zhang QL, Xu N, Huang ST, et al. WeChat-assisted preoperative health education reduces burden of care on parents of children with simple congenital heart disease: a prospective randomized controlled study. Braz J Cardiovasc Surg, 2021, 36(5): 663-669.
13.	Yang J, Yang H, Wang Z, et al. Self-management among type 2 diabetes patients via the WeChat application: a systematic review and meta-analysis. J Clin Pharm Ther, 2021, 46(1): 4-16.
14.	趙延慧, 唐楠, 韓琳, 等. 國內外日間手術患者延續性護理研究進展. 護理學報, 2018, 25(6): 24-27.Zhao YH, Tang N, Han L, et al. Advances in continuous care of day surgery patients at home and abroad. J Nurs, 2018, 25(6): 24-27.
15.	Hong YA, Shen K, Han HR, et al. A WeChat-based intervention, wellness enhancement for caregivers (WECARE), for Chinese American dementia caregivers: pilot assessment of feasibility, acceptability, and preliminary efficacy. JMIR Aging, 2023, 6: e42972.
16.	Ou Q, Wang L, Wang K, et al. Effect of probiotics supplementation combined with WeChat platform health management on nutritional status, inflammatory factors, and quality of life in patients with mild-to-moderate ulcerative colitis: a randomized trial. Ann Palliat Med, 2021, 10(6): 6606-6616.
17.	Li X, Li T, Chen J, et al. A WeChat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: a cluster-randomized controlled trial. Int J Environ Res Public Health, 2019, 16(21): 4058.
18.	張芹, 劉澤霞, 王琳琳, 等. "微信公眾號"+多學科團隊協作護理在出院腦梗死患者中的應用. 中華現代護理雜志, 2023, 29(3): 359-364.Zhang Q, Liu ZX, Wang LL, et al. Effect of "WeChat official account"+multidisciplinary team cooperative nursing in discharged patients with cerebral infarction. Chin J Mod Nurs, 2023, 29(3): 359-364.
19.	Wang ZR, Zhou JW, Liu XP, et al. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin Cases, 2021, 9(34): 10576-10584.

1. Xia Z, Zheng S, Shi Q, et al. Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema. J Int Med Res, 2023, 51(5): 3000605231169901.
2. Sun W, Yin G, Cai H, et al. The efficacy and safety of uniportal video-assisted thoracic surgery on the treatment for stage Ⅱ-Ⅲ tuberculous empyema: a single-arm clinical retrospective study from 2016 to 2021 in a thoracic surgery center in China. BMC Pulm Med, 2022, 22(1): 398.
3. 蔣鈺輝, 戴希勇, 申磊. 單孔胸腔鏡與開胸纖維板剝脫術治療慢性結核性膿胸的比較. 中國微創外科雜志, 2023, 23(2): 98-102.Jiang YH, Dai XY, Shen L. A comparative study between uniportal video-assisted thoracoscopic decortication and thoracotomy decortication for the treatment of chronic tuberculous empyema. Chin J Min Inv Surg, 2023, 23(2): 98-102.
4. Potzger T, Ried M, Hofmann HS. Decortication in pleural empyema: reasonable effects on lung function? Zentralbl Chir, 2016, 141 Suppl 1: S18-S25.
5. 中華醫學會結核病學分會. 中國耐多藥和利福平耐藥肺結核外科治療專家共識(2022年版). 中華結核和呼吸雜志, 2023, 46(2): 111-120.Chinese Society for Tuberculosis, Chinese Medical Association. Expert consensus on surgical treatment of multidrug-resistant and rifampicin-resistant pulmonary tuberculosis in China (2022 edition). Chin J Tuberc Respir Dis, 2023, 46(2): 111-120.
6. 賈霜, 宋毅杰, 吳邦貴, 等. 胸腔鏡胸膜剝脫術在治療Ⅲ期結核性膿胸中的臨床應用. 中華結核和呼吸雜志, 2023, 46(5): 474-479.Jia S, Song YJ, Wu BG, et al. Efficacy of video-assisted thoracoscopic surgical decortication for stage Ⅲ tuberculous empyema. Chin J Tuberc Respir Dis, 2023, 46(5): 474-479.
7. 陳妹英. 探析多學科合作的延續護理對卵巢癌患者心理狀態和生活質量的影響. 當代護士(下旬刊), 2021, 28(2): 91-93.Chen MY. To explore the influence of multidisciplinary cooperation on the psychological state and quality of life of ovarian cancer patients. Modern Nurse, 2021, 28(2): 91-93.
8. 蘇曉寧, 鄭建清, 陳櫻. SF-36量表和EORTC QLQ-LC43量表在肺癌患者生活質量測定中的應用效果. 中國衛生標準管理, 2023, 14(9): 114-120.Su XN, Zhen JQ, Chen Y. Application effect of SF-36 scale and EORTC QLQ-LC43 scale in quality of life measurement of lung cancer patients. China Health Stand Manag, 2023, 14(9): 114-120.
9. 畢麗. 循證護理干預模式在結核性膿胸手術患者中的應用效果. 中國醫藥指南, 2022, 20(18): 133-135.Bi L. Application effect of evidence-based nursing intervention mode in patients with tuberculous empyema surgery. Guide China Med, 2022, 20(18): 133-135.
10. Qiu Y, Qin H, Ying M, et al. WeChat-based health education to improve health knowledge in three major infectious diseases among residents: a multicentre case-controlled protocol. BMJ Open, 2020, 10(11): e037046.
11. Zou P, Huang A, Luo Y, et al. Effects of using WeChat/WhatsApp on physical and psychosocial health outcomes among oncology patients: a systematic review. Health Inform J, 2023, 29(1): 14604582231164697.
12. Zhang QL, Xu N, Huang ST, et al. WeChat-assisted preoperative health education reduces burden of care on parents of children with simple congenital heart disease: a prospective randomized controlled study. Braz J Cardiovasc Surg, 2021, 36(5): 663-669.
13. Yang J, Yang H, Wang Z, et al. Self-management among type 2 diabetes patients via the WeChat application: a systematic review and meta-analysis. J Clin Pharm Ther, 2021, 46(1): 4-16.
14. 趙延慧, 唐楠, 韓琳, 等. 國內外日間手術患者延續性護理研究進展. 護理學報, 2018, 25(6): 24-27.Zhao YH, Tang N, Han L, et al. Advances in continuous care of day surgery patients at home and abroad. J Nurs, 2018, 25(6): 24-27.
15. Hong YA, Shen K, Han HR, et al. A WeChat-based intervention, wellness enhancement for caregivers (WECARE), for Chinese American dementia caregivers: pilot assessment of feasibility, acceptability, and preliminary efficacy. JMIR Aging, 2023, 6: e42972.
16. Ou Q, Wang L, Wang K, et al. Effect of probiotics supplementation combined with WeChat platform health management on nutritional status, inflammatory factors, and quality of life in patients with mild-to-moderate ulcerative colitis: a randomized trial. Ann Palliat Med, 2021, 10(6): 6606-6616.
17. Li X, Li T, Chen J, et al. A WeChat-based self-management intervention for community middle-aged and elderly adults with hypertension in Guangzhou, China: a cluster-randomized controlled trial. Int J Environ Res Public Health, 2019, 16(21): 4058.
18. 張芹, 劉澤霞, 王琳琳, 等. "微信公眾號"+多學科團隊協作護理在出院腦梗死患者中的應用. 中華現代護理雜志, 2023, 29(3): 359-364.Zhang Q, Liu ZX, Wang LL, et al. Effect of "WeChat official account"+multidisciplinary team cooperative nursing in discharged patients with cerebral infarction. Chin J Mod Nurs, 2023, 29(3): 359-364.
19. Wang ZR, Zhou JW, Liu XP, et al. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin Cases, 2021, 9(34): 10576-10584.

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Effectiveness of telephone and WeChat follow-up in patients discharged from hospital with retained chest drains after stage Ⅲ tuberculous empyema surgery

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