短信提醒系统提高结核患者治疗依从性的可行性研究  

A Feasibility Study on Short Messaging Service(SMS) as a Strategy to Improve Adherence to TB Services

作　　者：李蕾[1] 刘琴[1] 王宏[1] 唐晓君[1] 雷迅[1] 王靖[2] 宋文丰[1] 汪洋[1] 

机构地区：[1]重庆医科大学公共卫生学院,重庆400016 [2]重庆医科大学信息管理系/图书馆,重庆400016

出　　处：《中国循证医学杂志》2011年第6期631-635,共5页Chinese Journal of Evidence-based Medicine

基　　金：英国国际发展部及英国利物浦大学资助的国际合作项目;中国;菲律宾大学国际合作项目

摘　　要：目的调查重庆市部分区县结核病患者移动电话拥有率及使用情况,了解其基本信息,为进一步开展短信提醒系统干预试点提供依据。方法采用分层整群抽样法,选择重庆市结核病高发的4个区县,对两个月内就诊的疑似和确诊病例进行定量和定性调查,定量数据用EpiData 3.1进行双录入核查,用χ2检验及logistic回归分析其影响因素,定性资料运用MAXQDA软件进行整理,用主体框架法分析。结果接受问卷调查的1?248名患者中,91.1%的患者或家属拥有移动电话,914人(80.4%)能够接收短信,81%的被调查者对短信提醒系统干预表示赞成;影响移动电话拥有率和短信接收的主要因素为年龄、职业、受教育程度和长期居住地;男性、19～49岁年龄组、高中及以上学历人群更容易拥有移动电话,定性访谈与定量调查结果一致。结论重庆市结核病患者移动电话拥有率和短信接收率均较高,就使用情况及对发送短信进行相关提醒干预的看法而言,在重庆地区实施短信提醒系统对结核病患者进行服药和就诊干预可行。To estimate the proportion of Chongqing TB patients who have access to mobile phones, to describe the utilization practice of those mobile phones, and to learn the general information of those TB patients, so as to provide feasibility basis for further intervention of SMS reminder systems, Methods The stratified cluster sampling method was used and four TB high-risk districts were selected. Both quantitative and qualitative research methods were used to interview the TB patients and suspects who had come to their local TB dispensaries during the past two months. The quantitative data was double entered using EpiData 3.1. The association of mobile phone utilization parameters with key variables was determined using chi-square test and logistic regression analyses. The qualitative data was managed, coded and retrieved using MAXQDA, and analyzed using thematic framework approach. Results Of the patients interviewed by quantitative research, the mobile phone ownership rate was 91.1%; 914 cases （80.4%） of the respondents were able to receive text messages; and most people （81%） held favorable opinions on SMS reminders. The main factors related to mobile phone ownerships and receiving SMS were age, occupation, education level, and place of residence. The male patients, in the age group of 19-49 years old, with education level of high school or higher were more likely to have access to mobile phones. The results from qualitative interview were similar. Conclusion Considering the high access to mobile phones of patients interviewed and patients＇ views on SMS reminders, it is feasible to conduct a pilot intervention using SMS as a strategy to imorove adherence to TB treatment in Chongqing.

关 键 词：结核病 移动电话 拥有率 短信 提醒系统 

分 类 号：R52[医药卫生—内科学]