基于手机微信的结核病管理系统使用情况及影响因素分析  

Analysis of the status and influencing factors of tuberculosis management system based on mobile Wechat

作　　者：翁剑峰[1] 陈文杰 刘志东[1] 陈浩[1] 李晓芬 尹庆庆 姚卓城 Weng Jianfeng;Chen Wenjie;Liu Zhidong;Chen Hao;Li Xiaofen;Yin Qingqing;Yao Zhuocheng(Huizhou Hospital for Occupational Disease Prevention and Treatment,Guangdong Province,Huizhou 516000,China)

机构地区：[1]广东省惠州市职业病防治院,惠州516000

出　　处：《结核与肺部疾病杂志》2023年第6期457-462,共6页Journal of Tuberculosis and Lung Disease

基　　金：广东省医学科研基金(B2018257)。

摘　　要：目的:探讨手机微信的结核病管理系统(简称“微督导”)在惠州市全面推广后的使用情况及影响因素。方法:采用回顾性研究方法,搜集2021年1—12月惠州市微督导推广地区登记的结核病患者的资料,包括不同时间、不同地区、不同特征的人群使用微督导的病案数据,分析结核病患者微督导的使用情况。采用logistic回归模型对结核病患者使用微督导的影响因素进行分析。结果:2021年惠州市微督导推广地区共登记结核病患者1714例,纳入微督导管理的患者764例,微督导使用率为44.57%。多因素logistic回归分析结果显示,地区为惠东县(OR=1.532,95%CI:1.154~2.035)、龙门县(OR=1.654,95%CI:1.165~2.347)、仲恺区(OR=3.157,95%CI:1.263~7.896),职业为农民(OR=1.541,95%CI:1.198~1.982),患者来源为因症就诊(OR=1.308,95%CI:1.016~1.684)的患者微督导使用率较高。结论:微督导在惠州市具有一定程度的可推广性,特别适宜在惠东县、龙门县、仲恺区、农民、因症就诊患者中推广。Objective:To explore the use and influencing factors of mobile WeChat tuberculosis management system(referred to as“micro-surveillance”)after its comprehensive promotion in Huizhou.Methods:The retrospective research method was used to collect the data of tuberculosis patients registered in Huizhou micro-surveillance promotion area from January to December 2021,including the medical record data of people using micro-surveillance at different times,in different regions and with different characteristics,and analyzed the use of micro-surveillance in tuberculosis patients.Logistic regression model was used to analyze the influencing factors of micro-surveillance in tuberculosis patients.Results:In 2021,a total of 1714 tuberculosis patients were registered in Huizhou micro-surveillance promotion area,764 patients were included in micro-surveillance management,and the use rate of micro-surveillance was 44.57%.The results of multivariate logistic regression analysis showed that those from Huidong County(OR=1.532,95%CI:1.154-2.035),Longmen County(OR=1.654,95%CI:1.165-2.347),Zhongkai District(OR=3.157,95%CI:1.263-7.896),and were employed as farmers(OR=1.541,95%CI:1.198-1.982),patients with symptomatic visits(OR=1.308,95%CI:1.016-1.684)had a higher usage rate of micro-surveillance.Conclusion:Micro-surveillance had a certain degree of scalability in Huizhou City,especially suitable for promotion among patients from Huidong County,Longmen County,Zhongkai District,farmers,and symptomatic patients.

关 键 词：结核 计算机通信网络 因素分析 统计学 

分 类 号：R521[医药卫生—内科学]