Objective To explore the effect of Internet technology and the WeChat mini-program on the treatment management of tuberculosis patients.
Methods TB medication supervision system was used WeChat small programs as a platform, by structure of a web server - mobile phones - computer using networking, using the mobile phones to record video, patients with the medicine when recording video upload to server, the doctor can supervise patients through the PC login platform for video review, then completes the requirements of the DOTS strategy in the face to face with medicine , increase the rate of taking medication. The time cost and management effect to the patients therapy between WeChat mini-program video observed therapy and traditional supervision were compared.
Results Among the 98 patients diagnosed with TB, 70 cases were administered using WeChat video-supervised drug administration system, and 28 were administered using traditional DOTS. The daily journey time of traditional patient supervision was 15 min, and the treatment course was 180 d, requiring a total of 2 700 min. The time of each use of WeChat mini-program was 2 min, and the course of treatment was 180 d, with a total of 360 min. The time required for the completion of the course of the traditional supervised drug was 7.5 times that of the video- supervised drug, and the difference was statistically significant ( P<0.01). Traditional drug supervisors needed 5 min per day, the treatment course was 180 d, with a total of 900 min. It took 1 min for each supervisor with video supervision to take medication, and the course of treatment was 180 d, with a total of 180 min. The traditional supervisor took 5 times longer than the video supervision ( P<0.01). The time costs for patients and supervisors in the video group were only 13.3% and 20.0% of those in the traditional group. The drug taking rate of video supervision rules was 97.1% and that of traditional supervision rules was 89.2%, the difference was statistically significant ( P<0.05).
Conclusion The use of video observed therapy, can savepatient’s and supervisor′s time, increase the regular medication rate, and improve the treatment compliance, promote the standardized management of patients, it is worthy of promotion.
摘要： 目的 探讨互联网技术+手机微信小程序管理方式对肺结核患者治疗管理的效果。 方法 结核病督导服药 系统以微信小程序为平台, 利用网络服务器-联网手机-联网电脑端的结构, 使用手机录制视频的功能, 将患者服药时 录制的视频上传至服务器, 督导医生可以通过电脑端登录平台对患者服药的视频进行审核, 进而完成 DOTS 策略中面 对面服药的要求, 提高患者的规则服药率。对比使用微信小程序视频服药管理的患者和传统督导服药患者的时间成 本及管理效果。 结果 确诊肺结核患者 98 例, 使用微信视频督导服药系统管理患者 70 例, 使用传统 DOTS 督导服药 28 例。以传统督导患者每天所需路程时间为 15 min, 疗程为 180 d, 共需 2 700 min; 视频督导服药每次使用微信小程序时 间为 2 min, 疗程为 180 d, 共需 360 min , 传统督导服药完成疗程所需时间是视频督导服药的 7.5 倍, 差异有统计学意义 ( P<0.01) 。以传统督导服药的督导员每天需 5 min, 疗程为 180 d, 共需 900 min; 视频督导服药的督导员每次需 1 min, 疗 程为 180 d, 共需 180 min, 传统督导服药督导员完成督导患者服药需时间是视频督导服药的 5 倍, 差异有统计学意义 ( P<0.01) 。视频组患者和督导员的时间成本只是传统组的 13.3% 和 20.0%。视频督导规则服药率为 97.1%, 传统督导规 则服药率为 89.2%, 差异有统计学意义 ( P<0.05) 。 结论 使用视频督导服药, 可节约患者及督导员的时间成本, 提高规 则服药率, 改善治疗依从性, 促进患者规范管理, 值得临床推广。