Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery: a 3-month follow-up study.
The objective of the study is to investigate the impact of receiving daily WeChat services on one's cell phone on adherence to corticosteroid nasal spray treatment in chronic rhinosinusitis (CRS) patients after functional endoscopic sinus surgery (FESS). This study was a two-arm, randomized, follow-up investigation. Patients with chronic rhinosinusitis with/without nasal polyps following bilateral FESS were randomised to receive, or to not receive, daily WeChat service on their cell phone to take corticosteroid nasal spray treatment. A prescription of budesonide aqueous nasal spray 128 µg bid was given to all the subjects. Then they returned to the clinic after 30, 60, 90 days. The primary study outcome was adherence to nasal spray treatment, whereas secondary outcomes were change in endoscopic findings and SinoNasal Outcome Test-20 (SNOT-20). On the whole, there was a significant inter-group difference in the change of adherence rate (F = 90.88, p = 0.000). The WeChat group had much higher adherence rate than the control group during the follow-up. In terms of postoperative endoscopic scores and SNOT-20, except granulation score, no significant differences were observed between the two randomization groups. WeChat services are already after a short period of observation associated with improved adherence to corticosteroid nasal spray treatment in CRS patients after FESS.
Department of Otolaryngology, Head and Neck Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, No 52, Meihua East Road, Xiangzhou District, Zhuhai, 519020, China.
Shaoyan
S
Feng
Department of Radiation Oncology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Zibin
Z
Liang
Department of Orthopaedics, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Rongkai
R
Zhang
Department of Otolaryngology, Head and Neck Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, No 52, Meihua East Road, Xiangzhou District, Zhuhai, 519020, China.
Wei
W
Liao
Department of Otolaryngology, Head and Neck Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, No 52, Meihua East Road, Xiangzhou District, Zhuhai, 519020, China.
Yuan
Y
Chen
Department of Otolaryngology, Head and Neck Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, No 52, Meihua East Road, Xiangzhou District, Zhuhai, 519020, China. 13926927889@139.com.
Yunping
Y
Fan
Guangdong Provincial Engineering Research Center for Molecular Imaging, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China. allergyli@163.com.
Huabin
H
Li
D000328:Adult; D019819:Budesonide / Q000627:therapeutic use*; D002681:China; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D063731:Mobile Applications; D059085:Nasal Sprays; D012220:Rhinitis / Q000188:drug therapy* / Q000601:surgery; D012852:Sinusitis / Q000188:drug therapy* / Q000601:surgery; D016903:Drug Monitoring
D005938:Glucocorticoids; D059085:Nasal Sprays; D019819:Budesonide
Adherence; Chronic rhinosinusitis; Corticosteroid nasal spray; Functional endoscopic sinus surgery; WeChat service