结核与肺部疾病杂志2023，Vol.4Issue(6)：468-474,7.DOI:10.19983/j.issn.2096-8493.20230119
惠州市基于手机微信APP的结核病管理系统管理模式的实施效果评价
Evaluation of implementation effect of management model of WeChat APP based tuberculosis management system in Huizhou
摘要
Abstract
Objective:To evaluate the implementation effect of WeChat application based tuberculosis management system(referred to as"micro-supervision")in Huizhou.Methods:A prospective study was conducted,1714 newly registered drug-susceptible pulmonary tuberculosis patients who met the inclusion criteria in Huizhou City from January to December 2021 were allocated to micro-supervision management group(764 cases)and the conventional supervision management group(950 cases),according to the patient's voluntary principle.According to the table of random sampling numbers,500 cases were randomly selected from the observation group(micro-supervision group)and the control group(conventional supervision group),respectively.The status of receiving medical staff visits,promotion and education,treatment adherence(missed medication and follow-up examination),treatment success,and occurrence of drug resistance were observed for the two groups.Results:The rate of medical staff visits(92.60％(463/500)),promotion(97.80％(489/500)),and the successful treatment rate(97.40％(487/500))among observation group were higher than those of the control group(84.20％(421/500),85.80％(429/500)and 85.20％(426/500)),and the differences were statistically significant(x2=17.202,47.824,46.846,Ps=0.000).The dropout rate(2.60％(13/500)),missed medication rate(15.81％(77/487)),and drug resistance rate(0.40％(2/500))were all significantly lower than the control group(14.80％(74/500),30.98％(132/426)and 3.00％(15/500)),and the differences were statistically significant(x2=46.846,P=0.000;x2=29.644,P=0.000;x2=10.113,P=0.001).The sputum examination rate(97.59％(486/498),97.12％(473/487),90.96％(443/487))at the end of the 2nd,5th,and 6th,and X-ray examination rate(93.02％(453/487))at the end of the 6th months of treatment in the observation group were higher than those in the control group(84.88％(421/496),86.08％(371/431),78.40％(334/426),80.98％(345/426)),the differences were statistically significant(x2=50.275,37.646,28.283,29.883;Ps=0.000).Conclusion:The micro-supervision management model can effectively improve patient treatment adherence,successful treatment rate,and reduce the occurance of drug resistance,so it is worth promoting and applying.关键词
结核/手机微信/管理/依从性/访视/复查Key words
Tuberculosis/Mobile WeChat application/Management/Adherence/Visit/Reexamination分类
医药卫生引用本文复制引用
翁剑峰,陈文杰,刘志东,陈浩,李晓芬,尹庆庆,姚卓城..惠州市基于手机微信APP的结核病管理系统管理模式的实施效果评价[J].结核与肺部疾病杂志,2023,4(6):468-474,7.基金项目
广东省医学科研基金(B2018257)Guangdong Medical Research Foundation Project(B2018257) （B2018257）
