Effect of cognitive behavioral therapy and WeChat-based health education on patients underwent peripherally inserted central catheter line placement.

ABSTRACT

OBJECTIVE: To investigate the effect of cognitive behavioral therapy (CBT) and WeChat-based health education on patients underwent peripherally inserted central catheter (PICC) line placement. METHODS: The clinical data of 113 patients with PICC line placement in our hospital from January 2019 to January 2021 were retrospectively collected and the patients were divided into two groups according to the intervention methods. Group A (n=56) received routine care of PICC line placement, while group B (n=57) received CBT and WeChat-based health education. The social support, Self-rating Anxiety Scale (SAS) scores, Self-rating Depression Scale (SDS) scores, Quality of Life Scale (QLQ-C30) scores, catheter care compliance, complications and score of self-care ability were compared between the two groups before and after intervention. RESULTS: After intervention, group B had higher social support utilization, subjective and objective support scores, social support scores, quality of life scores, lower SAS and SDS scores, and higher catheter maintenance compliance than group A (P < 0.05). The complication rate was 3.51% in group B, which was significantly lower than 25.00% in group A (P < 0.05). The score of self-care ability in group B was higher than that in group A after intervention (P < 0.05). CONCLUSION: CBT and WeChat-based health education have significant effects on improving patients' catheter maintenance compliance, score of self-care ability, social support and quality of life, which can alleviate dysphoria and reduce the incidence of complications.