基于互联网微信平台的流动人口肺结核患者健康教育研究

Analysis of the health education on tuberculosis patients in floating population based on internet WeChat platform

目的 探索互联网微信技术应用于管理流动人口结核病患者的效果.方法 选取2015年6月至2017年2月于广东省结核病控制中心结核科完成治疗的178例流动人口肺结核患者作为研究对象,采用单纯随机方法分为研究组（88例）和对照组（90例）;研究组应用互联网微信技术进行健康教育,对照组采用传统现场宣传教育方式进行健康教育.观察分析两组的医患对话频次、复诊率、治愈好转率、严重不良反应发生率等指标情况.结果 研究组的医患人均对话频次为17.7±2.31,高于对照组（10.4±1.93）,差异有统计学意义（t=-22.81,P＜0.01）.研究组的复诊率为98.9％（87/88）,高于对照组的78.9％（71/90）,差异有统计学意义（χ^2=17.81,P＜0.01）.研究组治愈好转率为94.3％（83/88）,对照组治愈好转率为88.9％（80/90）,两组差异无统计学意义（χ^2=1.70,P=0.192）.研究组严重不良反应发生率为6.8％（6/88）,低于对照组的16.7％（15/90）,差异有统计学意义（χ^2=4.15,P=0.042）.结论 应用互联网微信平台对流动人口结核病患者进行健康教育可提高其治疗依从性及医疗质量.

Objective To investigate the application of internet WeChat platform in the management of tuberculosis （TB） patients in floating population.Methods A total of 178 migrant TB patients who completed treatment in the department of Tuberculosis of Guangdong Center for Tuberculosis Control from June 2015 to February 2017 were selected as the study subjects.The patients were randomized to study group （n=88） and control group （n=90） by using Simple random sampling method.Health education in the study group was conducted by application of internet WeChat platform,while that in the control group was performed by traditional on-site publicity and education.The frequency of doctor-patient dialogues,re-examination rate,cure rate and incidence of adverse events were compared between the two groups.Results The frequency of doctor-patient dialogues in the study group was 17.7 ± 2.31,which was higher compared with the control group （10.4 ± 1.93）.The difference was statistically significant （t=-22.81,P〈0.01）.The re-examination rate of the study group was 98.9% （87/88）,higher than that of the control group （78.9 %,71/90）.The difference was also statistically significant （χ^2=17.81,P〈0.01）.There was no significant difference in the cure rate between the study group （94.3%,83/88） and control group （88.9%,80/90） （χ^2 =1.70,P=0.192）.The study group （6.8%,6/88） showed lower incidence of adverse events than the control group （16.7%,15/90）.The difference was statistically significant （χ^2=4.15,P=0.042）.Conclusion Application of internet WeChat platform in the health education on TB patients in floating population can improve patient compliance and overall quality of care.