Remote care instruction Via the WeChat platform for patients receiving subcutaneous anticoagulation during the COVID-19 pandemic: a retrospective analysis

Abstract

Abstract Objective The purpose of this study was to investigate the effect of remote nursing guidance based on WeChat platform for patients receiving subcutaneous anticoagulation during the COVID-19 epidemic. Methods Retrospective analysis of clinical data, including demographic data and anticoagulation complications, of 126 patients who received subcutaneous anticoagulation therapy and received remote nursing guidance using WeChat platform in our hospital from January 2022 to December 2022. The Anti-Clot Treatment Scale (ACTS) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale were used to evaluate patients' satisfaction with anticoagulation and quality of life at the beginning of anticoagulation, 2 weeks after anticoagulation, and at the end of anticoagulation. Results In total, 126 patients were involved in this study, all of them were female, 115 cases were natural pregnancy, 11 cases were assisted reproduction. This study including 7 cases of lower extremity deep vein thrombosis, 100 cases of hypercoagulable state, 10 cases of antiphospholipid syndrome, and 8 cases of protein S deficiency, 1 case of hyperhomocysteinemia. During the follow-up period, 4 patients (3.17%) had subcutaneous injection complications, including 3 cases of subcutaneous hemorrhage and 1 case of liquid leakage. 123 patients had completed the planned anticoagulation therapy or were receiving anticoagulation therapy as planned, and 3 patients did not receive anticoagulation therapy as planned (0 cases lost contact, 2 cases changed treatment units, and 1 case refused treatment). ACTS score (55.03 ± 1.73) and WHOQOL-BREF score (62.18 ± 3.17) after 3 months of anticoagulation, ACTS score (54.18 ± 1.20) and WHOQOL-BREF score(60.37 ± 2.25) after 2 weeks of anticoagulation was significantly higher than the ACTS score (47.81 ± 1.69) and WHOQOL-BREF score (55.25 ± 1.85) at the beginning of anticoagulation, and the difference was statistically significant (P value<0.01). Conclusions During the COVID-19 pandemic, remote nursing instruction via the WeChat platform for patients receiving subcutaneous anticoagulation can increase anticoagulation compliance, satisfaction, and quality of life.