中国防痨杂志2017，Vol.39Issue(7)：695-701,7.DOI:10.3969/j.issn.1000-6621.2017.07.006
语音短信督导系统在城区涂阳肺结核患者治疗管理中的应用
The application effect of Voice Reminding Messages System in the therapeutic management among smear positive tuberculosis patients in urban areas
摘要
Abstract
Objective To analyze the application effects and limitations of the Voice Reminding Messages System (VRMS) in the therapeutic management among smear positive tuberculosis (TB) patients in Nangang District,Harbin City of Heilongjiang Province in China.Methods We collected and analyzed the message of voice reminding message (VRM) to detect the sending and responding status,and analyzed non-responding pieces for the causes of delivery failure or non-responding via the message platform during the treatment of 238 smear positive TB patients,who lived in Nangang District and were treated and managed from July,2007 to July,2008.Results Among 21 478 pieces of VRM sent to 238 smear positive TB patients via the message platform,13 236 (61.6％) pieces were successfully delivered,and 8242 (38.4％) pieces failed.The rates of successful sending VRM were significances different in the different groups of gender,age and kinds of phones:the rate in female was 0.915 (95％CI:0.863-0.969) times as high as that in male;the rate in 40-59 and 60-groups were 1.512 (95％CI:1.300-1.759) times and 1.228 (95％CI:1.024-1.474) times higher than that in ≤19 group;the rate in patients with fixed-line phone and smart were 1.369 (95％CI:1.264-1.484) and 1.479 (95％CI:1.350-1.621) times higher than that with mobile phone (x2 =9.05,P=0.003;x2 =111.59,P＜0.01;x2 =114.60,P＜0.01).The successful sending rate of VRM in 100 patients (42.0％,100/238) was less than 60％,in 28 (11.8％) was 60％-69％,in 33 (13.9％) was 70％-79％,in 40 (16.8％) was 80％-89％,in 30 (12.6％) was 90％-94％,in 7 (2.9％) was 95％-99％.Among 13 236 pieces of,doctors received 9202 (69.5％) pieces responding and 4034 (30.5％) pieces of VRM weren't responded by the patients.The responding rate in 95 patients (39.9％,95/238) was less than 60％,in 19 (8.0％) was 60％-69％,in 18 (7.6％) was 70％-79％,44 (18.5％) was 80％-89％,in 22 (9.2％) was 90％-99％,in 40 (16.8％) was 100％.Of 12 276 (57.2％ of total 21 478 pieces of VRM) unsuccessful sending or non-responding pieces,3062 pieces (24.9％,3062/12 276) were called back and requested the reasons for their non-responded by the doctors.The main reason for unsuccessful sending or non-responding was the "Problem of VRMS" (83.0％,2541/3062),"Problem of telephones" (11.0％,337/3062),"Problem of patients" (6.0％,184/306).Conclusion The VRMS can only play a partial role in reminding the TB patients of taking their medicine on time and keeping the doctors aware of the patients' status in medicine taking.However,at present,the successful sending rate and responding rate of VRMS were lower and need be improved.关键词
结核,肺/药物疗法管理/便携式电话/语音短信督导系统Key words
Tuberculosis, pulmonary/Medication therapy management/Cellular phone/Voice reminding message system引用本文复制引用
秦玉宝,王彦富,邹纯金,周勇,谢艳光,房宏霞,闫兴录,李发滨,孙彦波,李洪海,魏松庭,王鑫..语音短信督导系统在城区涂阳肺结核患者治疗管理中的应用[J].中国防痨杂志,2017,39(7):695-701,7.基金项目
中国全球基金结核病控制项目(07-021) （07-021）
