QR Code-Based WeChat Channel Education for Post-Prostatectomy Incontinence: A Retrospective Cohort Study
Objective: To investigate the effects of health education via WeChat Channel (WeChat video account accessed by QR code) on pelvic floor muscle training (PFMT) adherence and urinary continence recovery in patients with urinary incontinence after robot-assisted laparoscopic radical prostatectomy (RALP). Methods: Clinical data of 120 patients who underwent RALP in our hospital between January 2024 and January 2026 were retrospectively analyzed. Patients were divided into a control group (routine care + verbal education, n = 58) and a WeChat Channel group (routine care + WeChat Channel education via QR code, n = 62). The WeChat Channel group scanned a QR code at discharge to access systematic PFMT instructional videos (anatomical explanations, contraction demonstrations, phased training plans), with 2–3 videos pushed weekly, backend viewing monitoring, and one weekly telephone reminder, until 3 months postoperatively. Urinary continence recovery rate, PFMT adherence score, ICI-Q-SF score, and SAS score were compared at 1, 3, and 6 months postoperatively. Results: Continence recovery rates at 1, 3, and 6 months were higher in the WeChat Channel group than in the control group (38.7% vs 22.4%, 67.7% vs 44.8%, 85.5% vs 69.0%; all p < 0.05). Multivariate logistic regression identified WeChat Channel education as an independent protective factor for 3-month continence recovery (OR = 2.89, 95% CI 1.42–5.87, p < 0.01). At 3 and 6 months, ICI-Q-SF and SAS scores were significantly lower in the WeChat Channel group (p < 0.01), as was the 6-month anxiety positivity rate (14.5% vs 31.0%, p = 0.028). Conclusion: WeChat Channel education via QR code significantly improves PFMT adherence, accelerates continence recovery, and alleviates anxiety after radical prostatectomy, representing a simple and effective continuous nursing intervention worthy of clinical promotion.
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