Objective To explore the feasibility of management mode of mobile message on the treatment supervision of patients with pulmonary tuberculosis in Lu′an City.
Methods The tuberculosis patients registered in 3 districts and 5 counties of Lu′an City in August, 2016 were randomly divided into the project group and control group. The control group only received the DOTS strategy and the project group received the supervision of mobile message on the basis of the DOTS. Then the treatment success rate and the treatment compliance after two months and at the end of the treatment were compared among two groups.
Results The treatment success rate ( P=0.029), the rate of recheck on time after two months ( P=0.006), the rate of regular medication at the end of the treatment ( P<0.001) and the rate of recheck on time at the end of the treatment ( P<0.001) of project group were all higher than those of control group. In patients of 60 years old and under, all indexs were statistically significant among two groups ( P<0.05), the effect of project group was more obvious than control group. In patients of over 60 years old, only the rate of withdrawal medicines at the end of the treatment of the project group was lower than the control group ( P=0.028), other indexes had no statistical difference ( P>0.05).
Conclusion The effect of management mode of mobile message on the treatment supervision of tuberculosis patients was obvious, especially among the tuberculosis patients of 60 years old and under.
摘要： 目的 探讨手机短信督导结核患者治疗管理模式在六安市应用的可行性。 方法 将 2016 年 8 月份六安市5 县3区登记肺结核患者随机分为项目组和对照组, 对照组仅实行 DOTS 策略, 项目组在 DOTS 策略的基础上采用手机短 信进行督导。然后比较两组患者总体治疗成功率、2个月末以及整个疗程结束时的治疗依从性。 结果 项目组的总体 治疗成功率 ( P=0.029) 、2个月末按时复查率 ( P=0.006) 以及疗程结束时的规律服药率 ( P<0.001) 和按时复查率 ( P< 0.001) 均高于对照组。60岁及以下患者中, 所有研究指标均比较差异有统计学意义 ( P<0.05), 项目组效果明显优于对 照组; 60岁以上患者中, 仅疗程结束时项目组的断药率低于对照组 ( P=0.028), 其他指标两组均无统计学差异 ( P＞ 0.05) 。 结论 手机短信督导结核病患者治疗管理模式效果明显, 尤其适合60岁及以下的结核病患者人群。