Application of "Internet+"-Based Continuous Nursing to Improve the Nutrition-Health Level of Pediatric Liver Transplant.
Weiwei Zhang, Li Fu, Yanwei Ren and 2 others
PMID 40804023WHAT IT FOUND
After 4 weeks, children whose families used an Internet+ continuity care package had fewer malnutrition-risk cases than routine care (8/38 vs 16/38).
The package bundled team, WeChat, daily photo checks, videos, emergency contact and calls, so no single part is shown to be responsible.
Key findings
01After 4 weeks, malnutrition risk was lower with Internet+ continuity care than routine continuity care: 8/38 versus 16/38 children, p=0.048.
02Caregiver stress and depression scores were lower after 4 weeks in the Internet+ group: CSI 3.65 versus 7.84, p=0.046; SDS 38.25 versus 52.68, p=0.043.
03Full compliance was 36/38 with Internet+ care versus 28/38 with routine care (p=0.040), and total postoperative complications were 2/38 versus 8/38 (p=0.042).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
It was a single-center study of 76 children, so it may not apply to other hospitals or countries. Follow-up was only 4 weeks, while liver recovery and nutrition take longer. The Internet+ intervention was a bundle of team, WeChat, daily photo review, videos, emergency contact and weekly calls, so the contribution of any one component cannot be separated. The paper reports a single-blind design, but families receiving WeChat check-ins could not be unaware of the intervention. The paper does not report actual dropout or missing-data handling. Several laboratory and anxiety outcomes were not significant, so the pattern is not uniform across measures. The authors did not test whether compliance or caregiver stress explained the improvement in nutrition or complications.
Declared interests
The authors declare no conflicts of interest and state they have nothing to report.
The easy way to misread this
Do not conclude that WeChat or daily photo check-ins alone caused the improvement. The Internet+ group also received a multidisciplinary team, videos, emergency contact and weekly calls on top of routine care, and the study did not separate these components.