应用手机短信管理肺结核患者依从性调查与分析  

The application of mobile phone text messages on the management of compliance of TB patients

作　　者：陆峰[1] 徐红[1] 符剑[1] 

机构地区：[1]江苏省南通市疾病预防控制中心结核病防治科,226001

出　　处：《中国防痨杂志》2012年第10期651-654,共4页Chinese Journal of Antituberculosis

基　　金：中国卫生部-盖茨基金会结核病防治合作项目(51914)

摘　　要：目的评价中国卫生部-盖茨基金会结核病防治合作项目(简称"中盖结核病项目")患者管理子项目手机模式的实施效果,为推广使用手机短信管理肺结核患者提供参考。方法中盖结核病项目实施期间,江苏省南通市崇川区、通州区确诊533例初治活动性肺结核患者(其中纳入中盖项目270例,未纳入项目263例),从两组中按数字表法各随机选择100例,作为项目组和对照组,调查患者治疗管理的依从性(疗程分为强化期末和疗程结束两部分)。结果2个月强化期末,项目组和对照组分别有94.0%(94/100)和79.0%(79/100)患者规律服药,两组规律服药率差异有统计学意义(χ2=144 508.67,P<0.05);92.0%(92/100)和75.0%(75/100)患者按时复诊,按时复诊率差异有统计学意义(χ2=10.49,P<0.05)。6个月疗程结束后项目组和对照组分别有84.0%(84/100)和48.0%(48/100)患者规律服药,两组规律服药率差异有统计学意义(χ2=28.87,P<0.05);81.0%(81/100)和40.0%(40/100)的患者按时复诊,按时复诊率差异有统计学意义(χ2=35.17,P<0.05)。结论应用手机短信管理的患者依从性优于对照组,应加以推广。Objective To evaluate the effect of mobile phone model of case management subproject of China MOH-Gates project,and provide reference for promotion of mobile phone text messages on the management of TB cases.Methods During the project implementation period,a total of 533 new pulmonary TB patients were diagnosed in Chongchuan and Tongzhou district of Nantong city,among which 270 were enrolled in Gates project.According to the digit table method,100 cases were randomly selected in Gates-group and non-Gates group respectively as case and control group to investigate their treatment compliance at the end of intensive period and treatment completion.Results At the end of 2-month intensive period,94.0%（94/100） and 79.0%（79/100） of patients took medicine regularly in the case and control group respectively,and the difference is statistically significant（χ2=144 508.67,P0.05）;92.0%（92/100）and 75.0%（75/100）of patients returned the clinic for follow-up examin-ation timely,the difference is statistically significant（χ2=10.49,P0.05）.While at the end of 6-month treatment,the rates of regularly taking medicine were 84.0%（84/100） and 48.0%（48/100）respectively,and the difference is statistically significant（χ2=28.87,P0.05）;so is the rates of follow-up examination on time,81.0%（81/100） and 40.0%（40/100） respectively（χ2=35.17,P0.05）.Conclusion The patients managed by mobile phone text messages has better compliance than the control group,therefore this mode should be promoted.

关 键 词：结核 肺/药物疗法 病人依从 便携式电话 电信 药物疗法管理 

分 类 号：R521[医药卫生—内科学]