微信健康教育方式在中青年初治肺结核患者随访中的应用研究

Study on the application of Wechat health education in the follow-up of young and middle-aged patients with newly diagnosed pulmonary tuberculosis

目的:探讨将微信健康教育方式应用于中青年初治肺结核患者随访中的效果。方法:通过选择2017年3月-2018年3月在本院收治的中青年初治肺结核患者120例,随机将其分为两组,每组各60例,两组患者均同时实施相同的住院及出院健康教育。对照组则采用传统的电话进行随访;而研究组的患者则采用微信的方式进行随访。最后比较两组患者随访6个月后的肺结核相关知识掌握情况及依从性。结果:研究组对肺结核相关知识的掌握水平为91.7%,而对照组则为73.2%,研究组患者显著高于对照组,差异有统计学意义(P<0.05);研究组的患者服药依从性、复诊依从性、饮食依从性及运动依从性均明显高于对照组的患者,差异有统计学意义(P<0.05)。结论:将微信健康教育方式应用于中青年初治肺结核患者随访中可以显著提高患者的肺结核知识掌握水平,使治疗依从性大大提高。

objective:to explore the effect of WeChat health education in the follow-up of young and middle-aged patients with tuberculosis.Methods:A total of 120 young and middle-aged tuberculosis patients admitted to our hospital from March 2017 to March 2018 were randomly divided into two groups with 60 patients in each group.Both groups received the same in-patient and out-patient health education.The control group was followed up by traditional telephone.Patients in the study group were followed up with WeChat.Finally,the compliance and grasp of tuberculois-related knowledge after 6 months of follow-up were compared between the two groups.Results:The level of tuberculosis knowledge in the study group was 91.7%,while that in the control group was 73.2%.The patients in the study group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).The medication compliance,follow-up visit compliance,diet compliance and exercise compliance of patients in the study group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:applying WeChat health education method to the follow-up of young and middle-aged patients with tuberculosis at the beginning of treatment can significantly improve the level of tuberculosis knowledge of the patients and greatly improve the treatment compliance.