摘要
目的:分析肺结核患者对结核助手APP和电子药盒的使用意愿和使用效果。方法:收集2019年5月1日至10月31日上海市松江区登记的297例活动性肺结核患者,按照登记顺序及入选标准进行筛选,在知情同意的原则下,符合纳入条件的269例患者自主选择是否使用结核助手APP或电子药盒,最终72例患者纳入结核助手APP组,76例患者纳入电子药盒组,对两组进行前瞻性督导服药管理研究直到疗程结束。对不同性别、年龄、户籍患者选择使用结核助手APP、电子药盒的意愿以及结核助手APP组和电子药盒组总体服药率进行分析。结果:269例患者中,选择使用结核助手APP的有72例,使用率为26.8%。本市户籍患者使用率为13.6%(11/81),流动人口患者使用率为32.4%(61/188),差异有统计学意义(χ^(2)=10.28,P<0.01)。18~44岁年龄组使用率为35.4%(67/189),45~59岁年龄组使用率为8.8%(3/34),≥60岁年龄组使用率为4.3%(2/46),差异有统计学意义(χ^(2)=24.65,P<0.01)。269例患者中,选择使用电子药盒有76例,使用率为28.3%。本市户籍患者使用率为51.9%(42/81),流动人口患者使用率为18.1%(34/188),差异有统计学意义(χ^(2)=31.84,P<0.01)。18~44岁年龄组使用率为19.6%(37/189),45~59岁年龄组使用率为38.2%(13/34),≥60岁年龄组使用率为56.5%(26/46),差异有统计学意义(χ^(2)=26.83,P<0.01)。197例患者不愿意使用结核助手APP,主要原因为患者认为每天打卡很麻烦,占44.7%(88/197)。193例患者不愿意使用电子药盒,主要原因为患者认为使用药盒不如直接服药方便,占29.0%(56/193)。结核助手APP组总体服药率为95.2%(19478/20461),高于电子药盒组[93.3%(20183/21631)],差异有统计学意义(χ^(2)=69.01,P<0.01)。结核助手APP组总体规则服药率为93.1%(67/72),电子药盒组总体规则服药率为90.8%(69/76)。结论:肺结核患者对于结核助手APP和电子药盒有一定的使用意愿,运用结核助手APP和电子药盒对肺结核�
Objective:To analyze the willingness and effect of tuberculosis assistant APP and electronic kit in pulmonary tuberculosis patients.Methods:A total of 297 active pulmonary tuberculosis patients registered in Songjiang District,Shanghai from May 1 to October 31,2019 were collected and screened according to the registration order and inclusion criteria.Based on the principle of informed consent,269 patients who met the inclusion criteria were selected.After independent choose of tuberculosis assistant APP or electronic kit voluntarily,the cases were divided into tuberculosis assistant APP group(n=72)and electronic kit group(n=76).These 148 patients were prospectively studied until the end of the course of treatment.The willingness of patients with different gender,age and household registration to choose the tuberculosis assistant APP or the electronic kit,and the overall medication rate of the tuberculosis assistant APP group and the electronic kit group were analyzed.Results:Among the 269 patients,72 chose the tuberculosis assistant APP,with a usage rate of 26.8%.The usage rate of household registration patients in this city was 13.6%(11/81),and the usage rate of floating population patients was 32.4%(61/188),and the difference was statistically significant(χ^(2)=10.28,P<0.01).The usage rate of patients aged 18-44 years was 35.4%(67/189),the usage rate of patients aged 45-59 years was 8.8%(3/34),and the usage rate of patients aged≥60 years was 4.3%(2/46),the difference was statistically significant(χ^(2)=24.65,P<0.01).Of the 269 patients,76 chose the electronic kit,with a usage rate of 28.3%.The usage rate of household registration patients in this city was 51.9%(42/81),and the usage rate of floating population patients was 18.1%(34/188),the difference was statistically significant(χ^(2)=31.84,P<0.01).The selection rate of patients aged 18-44 years was 19.6%(37/189),the usage rate of patients aged 45-59 years was 38.2%(13/34),and the usage rate of patients aged≥60 years was 56.5%(26/46),the difference was
作者
李勇
路丽苹
李瑾
邹金燕
LI Yong;LU Li-ping;LI Jin;ZOU Jin-yan(Tuberculosis Division,Songjiang District Center for Control and Prevention,Shanghai 201600,China)
出处
《结核与肺部疾病杂志》
2022年第1期22-26,共5页
Journal of Tuberculosis and Lung Disease
基金
上海市大城市结核病综合防治模式研究(2018ZX10715012)
基于移动互联网技术及智能工具的结核病患者随访管理研究(20SJKJGG206)。
关键词
结核
肺
病人医护管理
计算机通信网络
药物治疗依从性
Tuberculosis,pulmonary
Patient care management
Computer communication networks
Medication adherence
