互联网医院在门诊肺结核患者健康教育中的应用

Application of Internet Hospital in Health Education of Outpatient Tuberculosis Patients

目的探讨互联网医院在门诊肺结核患者健康教育中的应用效果。方法收集2017年6月—10月在厦门大学附属第一医院初诊的85例肺结核患者,随机分为实验组和对照组。2组患者均在临床药师及医师的指导下实施相同的健康教育内容。其中实验组采用互联网医院系统进行服药督导及随访,对照组采用复诊时面对面指导服药及电话随访。9个月后进行肺结核患者治愈率和依从性比较。结果实验组患者规则服药率、按时复查率及CT显效率均明显高于对照组,差异具有统计学意义(P<0.05),痰涂片及痰培养转阴率差异无统计学意义。结论运用互联网医院进行肺结核的健康教育方式可以有效提高肺结核患者的依从性及治愈率。

OBJECTIVE To explore the effect of internet hospital in education of outpatient tuberculosis patients. METHODS Eighty-five cases of tuberculosis patients who were initially diagnosed in The First Affiliated Hospital of Xiamen University from June 2017 to October 2017 were randomly divided into the experimental group and the control group. Both groups of patients had the same healthy education with the guidance of clinical pharmacists and doctors. The experimental group used the internet hospital system for supervising the medicine and paying a return visit, and the control group had face-to-face guidance and telephone interviews. It compared with the cure rate of tuberculosis patients and compliance after 9 months. RESULTS In the experimental group, the on-time rate, on-time review rate and the efficiency of CT were significantly higher than those in the control group, and the difference was statistically significant(P<0.05), the negative conversion ratio of sputum smear and sputum culture had no statistical significance. CONCLUSION The education which using internet hospital can effectively improve the compliance and cure rate of tuberculosis patients.