肺结核患者综合管理模式应用效果评价
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李源,副主任技师,研究方向:结核病防制与实验室技术

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R183.3

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Evaluation on the application effect of comprehensive management model for pulmonary tuberculosis patients
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    摘要:

    目的 了解“DOTS+微信”综合管理模式在肺结核患者治疗管理中的可行性与应用效果。方法 淄博市2018年-2019年共登记活动性肺结核患者2420例,符合纳入标准的1988例患者作为研究对象,随机纳入836例患者采用“DOTS+微信”综合管理模式,另外1152例采用DOTS单管理模式,应用SPSS16.0软件以及卡方检验、t检验等对两组研究对象的规则服药情况、治疗及转归情况、治疗管理情况及核心知识知晓情况等进行统计学分析。结果 “DOTS+微信”综合管理组的规则服药率(98.80%)、痰检次数符合率(95.81%)、成功治疗率(98.68%)均高于单管理组(92.10%、90.19%、96.53%),差异有统计学意义(P=0.000、0.000、0.003);综合管理组医务人员参与督导管理率(100%)高于单管理组(75.87%)(P=0.000),巩固期完整随访率(100%)、全疗程完整随访率(99.76%)均高于单管理组(P=0.000、0.001),疗程结束核心知识知晓水平(78.58±4.32)高于单管理组(70.70±8.02)(P=0.000)。结论 微信管理模式的应用对淄博市结核患者的治疗管理产生了积极作用,对现行的结核病防治管理措施是一种可行且有效地补充与完善,值得进一步推广和探索完善。

    Abstract:

    Objective To evaluate and analyze the feasibility and application effect of “DOTS + WeChat” in the treatment and management of tuberculosis patients. Methods From 2018 to 2019, a total of 2 420 active pulmonary tuberculosis patients were registered in Zibo City, and 1 988 patients meeting the inclusion criteria were selected as the research subjects. 836 patients were randomly enrolled under the "DOTS + WeChat" integrated management mode, while the other 1152 cases were treated with single DOTS management mode. The regular medication status, treatment and outcome, and core knowledge awareness of the two groups were analyzed by SPSS16.0 software, χ2- test and t- test methods. Result The "DOTS+ WeChat" comprehensive management group had higher a regular medication rate (98.80%), coincidence rate of sputum test times (95.81%), and success rate of treatment (98.68%) than the single DOTS management group (92.10%, 90.19%, and 96.53%) (P = 0.000, 0.000, 0.003). The rate of medical staff participating in supervision and management in the comprehensive management group (100%) was higher than that in the single management group (75.87%) (P = 0.000). The complete follow-up rate in the consolidation period (100%) and the complete whole course follow-up rate (99.76%) were both higher than those in the single management group (P = 0.000, 0.001). The awareness level of core knowledge in the comprehensive management group (78.58 ± 4.32) was higher than that in the single management group (70.70 ± 8.02) (P = 0.000). Conclusion The application of WeChat management mode has a positive effect on the treatment and management of tuberculosis patients in Zibo City. It is a feasible and effective supplement and improvement to the current tuberculosis control and management measures, which is worthy of further promotion and exploration.

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  • 收稿日期:2022-05-11
  • 最后修改日期:2022-05-11
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  • 在线发布日期: 2022-07-22
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