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互联网+手机视频督导在结核病患者治疗管理中应用情况的初步分析

房宏霞 秦玉宝 刘昌伟 陈智聪 严新凤 余文龙 张明传 赖铿

中国防痨杂志2017,Vol.39Issue(7):684-688,5.
中国防痨杂志2017,Vol.39Issue(7):684-688,5.DOI:10.3969/j.issn.1000-6621.2017.07.004

互联网+手机视频督导在结核病患者治疗管理中应用情况的初步分析

Preliminary analysis of video observed therapy for management of tuberculosis patients by internet and mobile phones in Longhua District of Shenzhen City

房宏霞 1秦玉宝 2刘昌伟 3陈智聪 3严新凤 3余文龙 1张明传 2赖铿1

作者信息

  • 1. 518110 广东省深圳市龙华区慢性病防治中心结核病防治科
  • 2. 518110 广东省深圳市龙华区慢性病防治中心门诊部
  • 3. 518110 广东省深圳市龙华区慢性病防治中心主任办公室
  • 折叠

摘要

Abstract

Objective To analyze the application of video observed therapy (VOT) for management of tuberculosis patients by internet and mobile phones.Methods In this prospective cohort study,the 182 pulmonary tuberculosis patients who were registered,treated and supervised with VOT in the Shenzhen Longhua Center for Chronic Disease Control from January 1st to April 30th,2017 were enrolled.The medicine record in system of VOT was collected and analyzed.Results The 182 patients in the study had 7841 times of medication administration.The times uploaded in the system were 6000 (76.5%,6000/7841);however,of which 5043 medication times (84.1%,5043/6000) were uploaded after sending reminders.The upload medication rates in VOT system were significantly different between the groups of different gender,age,ethnic and kinds of treatment:The upload medication rate in females was 79.8% (1839/2305),higher than 75.2% (4161/5536) of males (x2 =19.34,P<0.01);the rate in 20-39 years age group was 77.2% (5205/6745),higher than 71.6% (293/409) of under 19 years age group (x2 =11.55,P =0.003);the rate in ethnic minority was 72.4% (870/1201),lower than 77.3%(5130/6640) of ethnic Han (x2 =13.15,P<0.01);the rate in retreated patients was 96.6% (28/29),higher than 76.4% (5972/7812) of initially treated patients (x2 =6.50,P=0.011).Conclsion Most pulmonary tuberculosis patients can accept and comply with VOT supervision as required.Additional training and guidance should be given to the patients not aged 20-39 years,males,ethnic minority patients and the initially treated cases undergoing VOT surveillance.

关键词

结核,肺/病例管理/数据库管理系统/视频督导

Key words

Tuberculosis, pulmonary/Case management/Database management system/Video observed therapy

引用本文复制引用

房宏霞,秦玉宝,刘昌伟,陈智聪,严新凤,余文龙,张明传,赖铿..互联网+手机视频督导在结核病患者治疗管理中应用情况的初步分析[J].中国防痨杂志,2017,39(7):684-688,5.

基金项目

广东省医学科研基金指令性课题项目(C2016038) (C2016038)

中国防痨杂志

OACSTPCD

1000-6621

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