手机短信督导对肺结核患者治疗依从性的影响

摘要

Objective:To explore the supervision model of improving treatment compliance to the pulmonary tuberculosis (TB) patients. Methods:The patients in management were randomly divided into three groups. Three groups were treated with mobile message supervision (79), Directly Observed Treatment, Short-Course(DOTS)(71),family supervision(59),respectively. Results:The rate of sputum examination was 78% by mobile message supervision, significantly higher than DOTS 65% and family supervision 56% .The patients finished treatment was 82% by mobile message supervision, significantly higher than DOTS and family supervision. Especially/or the group of 25-50 age ,the treatment compliance was improved obviously by mobile message supervision. Conclusion;The treatment compliance was significantly improved by mobile message supervision, and the supervision model was accepted easily by the patients.%目的:为探索提高肺结核患者治疗依从性的督导管理模式.方法:随机将治疗管理的肺结核患者分为3组,手机短信督导组79人,结防所每天向患者发送短信督导服药；医务人员全程督导(DOTS)组71人,基层全程医务人员督导服药;家庭成员督导组59人,家庭成员督导服药.结果:手机短信督导组患者遵医嘱进行痰菌复查率达78％,显著高于DOTS组65％和家庭督导组56％；患者能够遵医嘱服完全疗程药物者手机短信督导组达82％,显著高于其他两组.特别对25-50岁最具劳动能力人群,利用手机短信督导可明显提高患者治疗依从性.结论:手机短信督导肺结核患者治疗管理,患者容易接受,可显著提高患者治疗依从性.