出院后微信督导对肠结核患者治疗依从性的影响

Effect of WeChat supervision after discharge on the treatment compliance of patients with intestinal tuberculosis

目的 探讨出院后微信督导对肠结核患者治疗依从性的影响。方法 选择2017年1月~2018年6月在医院诊断治疗的肠结核患者60例为研究对象,随机分为干预组与对照组,各30例。对照组给予常规护理与健康教育,干预组在常规护理与健康教育基础上给予出院后微信督导,比较两组出院后服药依从性、健康教育满意度、肠结核知识知晓率。结果 出院后1个月、3个月、6个月,干预组服药依从性显著高于对照组(P<0.05);出院后对照组服药依从性呈下降趋势,出院后6个月依从性显著低于出院后1个月(P<0.05)。干预组在肠结核传播途径、结核病预防方法、肠结核主要表现、出现结核病可疑症状应去哪就诊、结核病减免政策、肠结核患者服药疗程、治疗过程中注意事项、有效治疗的关键等方面的知晓率显著高于对照组(P<0.05)。干预组在沟通方式、服务态度、治疗指导、生活指导、护理指导、用药指导、检查指导、心理指导、运动指导以及其他指导方面的满意率均显著高于对照组(P<0.05)。结论 出院后实施微信督导能显著提高肠结核患者治疗依从性,提高患者满意度以及肠结核知识知晓率。

Objective To investigate the effect of WeChat supervision after discharge on the treatment compliance of patients with intestinal tuberculosis.Methods 60 patients with intestinal tuberculosis diagnosed and treated in the hospital from January 2017 to June 2018 were selected as subjects.They were randomly divided into intervention group and control group,with 30 cases in each group.The control group was given routine nursing and health education.The intervention group was given WeChat supervision after discharge on the basis of routine nursing and health education.The drug compliance after discharge,the satisfaction of health education,and the awareness rate of intestinal tuberculosis between the two groups were compared.Results After 1 month,3 months and 6 months after discharge,the medication compliance of the intervention group was significantly higher than that of the control group(P<0.05).After the discharge,the compliance of the control group showed a downward trend,and the compliance at 6 months after discharge was significantly lower than that at 1 month after discharge(P<0.05).The awareness rate in the route of intestinal tuberculosis,the prevention of tuberculosis,the main manifestations of intestinal tuberculosis,where to go to visit a doctor for the suspected symptoms of tuberculosis,the policy of tuberculosis reduction,the course of medication for patients with intestinal tuberculosis,the precautions during treatment,and the key to effective treatment of the intervention group was significantly higher than that of the control group(P<0.05).The satisfaction rate in communication mode,service attitude,treatment guidance,life knowledge,nursing guidance,medication guidance,examination guidance,psychological guidance,exercise guidance and other guidance of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion The implementation of WeChat supervision after discharge can significantly improve the treatment compliance of patients with intestinal tuberculosis,improve satisfaction and awareness of intestinal tuberculosis knowledge.