微信小程序和电子药盒在肺结核患者督导服药管理中的应用效果  

Effectiveness of weChat mini programs and electronic medication boxes in enhancing medication adherence supervision among tuberculosis patients

作　　者：秦雪玲 孙晓英 陈丽 李宗芳[3] QIN Xue-ling;SUN Xiao-ying;CHEN Li;LI Zong-fang(Department of Prevention and Control,Rizhao Tuberculosis Control Institute,Shandong 276800,China;Department of Statistics,Shandong Public Health Clinical Center;Department of Respiratory Medicine,Rizhao Hospital of Traditional Chinese Medicine)

机构地区：[1]日照市结核病防治所预防控制科,山东276800 [2]山东省公共卫生临床中心统计科 [3]日照市中医医院呼吸科

出　　处：《预防医学论坛》2025年第1期40-45,共6页Preventive Medicine Tribune

基　　金：山东省医药卫生科技发展计划项目(202012071504);济宁医学院教师科研扶持基金项目(JYFC2019FKJ150)。

摘　　要：目的评价使用手机微信小程序和电子药盒辅助健康管理肺结核患者的效果,为推广使用新型结核病管理模式提供依据。方法利用“易督导”结核病患者智能管理服务系统平台和全民健康保障疾控信息系统的监测报告管理数据,收集2020年11月-2022年12月山东省日照市市级结核病定点医院登记的813例肺结核患者的资料,选取其中借助微信小程序和电子药盒进行健康管理的患者,分别作为微信组、药盒组,对两组患者进行前瞻性督导服药管理。服药管理疗程结束后,评估患者的智能工具使用情况、服药依从性及效果。结果登记的813例患者中使用智能工具健康管理者有715例,智能工具总体使用率为87.95%(715/813)。其中,554例患者使用微信小程序,微信使用率为68.14%(554/813);161例患者使用电子药盒,药盒使用率为19.80%(161/813)。基层防痨医师对微信组首次入户访视及时率为82.67%(458/554),药盒组首次入户访视及时率为85.71%(138/161),差异无统计学意义(χ^(2)=0.833,P=0.362);微信组总随访率为90.31%(5602/6203),药盒组总随访率为98.85%(1798/1819),差异有统计学意义(χ^(2)=143.232,P<0.001)。微信组服药率为95.26%(106521/111819),药盒组服药率为90.09%(27958/31035),差异有统计学意义(χ^(2)=1179.531,P<0.001);微信组治疗成功率为(97.02%,521/537),药盒组治疗成功率为(94.19%,146/155),差异无统计学意义(χ^(2)=2.760,P=0.097)。微信小程序使用情况在性别、患者来源、治疗结果方面的差异无统计学意义(χ^(2)分别为1.976、3.368、0.499,P均>0.05)。不同年龄组电子药盒使用率差异有统计学意义(χ^(2)=63.878,P<0.001)。结论肺结核患者对微信小程序和电子药盒辅助督导服药有较高的使用意愿,两种方式均可有效提高患者的治疗依从性、信息化管理及基层防痨医师对患者的总体访视率,其中以微信小程序的应用效果更优。Objective To evaluate the effectiveness of WeChat mini programs and electronic medication boxes in assisting the health management of tuberculosis(TB)patients,so as to provide evidence for promoting novel TB management models.Methods Using the“Easy Supervision”intelligent management service system platform for tuberculosis patients and the monitoring and reporting management data of the universal health protection CDC information system,813tuberculosis patients registered in the municipal tuberculosis sentinel hospitals in Rizhao city,Shandong province from November 2020to December 2022were collected.Among them,patients who used WeChat mini program and electronic medicine box for health management selected as the WeChat group and the medicine box group,respectively,and the 2groups of patients were prospectively supervised for medication management.After the end of the management course,the use of intelligent tools,medication compliance and effectiveness of the patients were evaluated.Results Among the 813registered patients,715used the smart tool health manager,and the overall usage rate of the smart tool was 87.95%(715/813).Of these,554patients used the WeChat applet,with a WeChat usage rate of 68.14%(554/813);161patients used the electronic medicine box,with a medicine box usage rate of 19.80%(161/813).The timely rate of the first home visit by primary tuberculosis physicians was 82.67%(458/554)in the We group and 85.71%(138/161)in the medicine box group,and the difference was not statistically significant(χ^(2)=0.833,P=0.362);The overall follow-up rate was 90.31%(5602/6203)in the WeChat group and 98.85%(1798/1819)in the medicine box group,and the difference was statistically significant(χ^(2)=143.232,P<0.001).The medication adherence rate was 95.26%(106521/111819)in the WeChat group and 90.09%(27958/31035)in the medicine box group,and the difference was statistically significant(χ^(2)=1179.531,P<0.001);the treatment success rate was 97.02%(521/537)in the WeChat group and 94.19%(146/155)in the medicine b

关 键 词：肺结核 微信小程序 电子药盒 健康管理 

分 类 号：R521[医药卫生—内科学]