Evaluation of implementation effect of management model of WeChat APP based tuberculosis management system in Huizhou

doi:10.19983/j.issn.2096-8493.20230119

Abstract

Abstract:

Objective: To evaluate the implementation effect of WeChat application based tuberculosis management system (referred to as “micro-supervision”) in Huizhou. Methods: A prospective study was conducted, 1714 newly registered drug-susceptible pulmonary tuberculosis patients who met the inclusion criteria in Huizhou City from January to December 2021 were allocated to micro-supervision management group (764 cases) and the conventional supervision management group (950 cases), according to the patient’s voluntary principle. According to the table of random sampling numbers, 500 cases were randomly selected from the observation group (micro-supervision group) and the control group (conventional supervision group), respectively. The status of receiving medical staff visits, promotion and education, treatment adherence (missed medication and follow-up examination), treatment success, and occurrence of drug resistance were observed for the two groups. Results: The rate of medical staff visits (92.60% (463/500)), promotion (97.80% (489/500)), and the successful treatment rate (97.40% (487/500)) among observation group were higher than those of the control group (84.20% (421/500), 85.80% (429/500) and 85.20% (426/500)), and the differences were statistically significant (χ²=17.202, 47.824, 46.846, Ps=0.000). The dropout rate (2.60% (13/500)), missed medication rate (15.81% (77/487)), and drug resistance rate (0.40% (2/500)) were all significantly lower than the control group (14.80% (74/500), 30.98% (132/426) and 3.00% (15/500)), and the differences were statistically significant (χ²=46.846, P=0.000; χ²=29.644, P=0.000; χ²=10.113, P=0.001). The sputum examination rate (97.59% (486/498), 97.12% (473/487), 90.96% (443/487)) at the end of the 2nd, 5th, and 6th, and X-ray examination rate (93.02% (453/487)) at the end of the 6th months of treatment in the observation group were higher than those in the control group (84.88% (421/496), 86.08% (371/431), 78.40% (334/426), 80.98% (345/426)), the differences were statistically significant (χ²=50.275, 37.646, 28.283, 29.883; Ps=0.000). Conclusion: The micro-supervision management model can effectively improve patient treatment adherence, successful treatment rate, and reduce the occurance of drug resistance, so it is worth promoting and applying.

Key words: Tuberculosis, Mobile WeChat application, Management, Adherence, Visit, Reexamination

CLC Number:

R521

Weng Jianfeng, Chen Wenjie, Liu Zhidong, Chen Hao, Li Xiaofen, Yin Qingqing, Yao Zhuocheng. Evaluation of implementation effect of management model of WeChat APP based tuberculosis management system in Huizhou[J]. Journal of Tuberculosis and Lung Disease , 2023, 4(6): 468-474. doi: 10.19983/j.issn.2096-8493.20230119

Figures/Tables 5

References 21

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指标	观察组(500例)	对照组(500例)	统计检验值	P值
年龄(岁, $\bar{x}±s$)	45.83±15.41	49.57±18.61	t=-6.832	0.751
性别[例(构成比,%)]			χ²=2.004	0.157
男性	326(65.20)	347(69.40)
女性	174(34.80)	153(30.60)
职业[例(构成比,%)]			χ²=5.228	0.265
家务及待业	173(34.60)	186(37.20)
农民	115(23.00)	124(24.80)
工人	136(27.20)	127(25.40)
学生	22(4.40)	27(5.40)
其他	54(10.80)	36(7.20)
教育程度[例(构成比,%)]			χ²=0.493	0.781
大专及以上	143(28.60)	136(27.20)
高中/中专	236(47.20)	247(49.40)
初中及以下	121(24.20)	117(23.40)
居住地距第3级督导点距离[例(构成比,%)]			χ²=0.545	0.762
<5km	72(14.40)	77(15.40)
5~9km	339(67.80)	328(65.60)
≥10km	89(17.80)	95(19.00)
病原学检测结果[例(构成比,%)]			χ²=0.186	0.666
阳性	372(74.40)	366(73.20)
阴性	128(25.60)	134(26.80)

组别	例数	第1个月	第2个月	第3个月	第4个月	第5个月	第6/7个月	总漏服药
观察组	500	3(0.60)	9(1.81)	29(5.87)	26(5.32)	8(1.64)	2(0.41)	77(15.81)
对照组	500	6(1.20)	13(2.62)	57(11.63)	43(9.41)	9(2.09)	4(0.94)	132(30.98)
χ²值		1.009	0.727	10.240	5.850	0.250	0.971	29.644
P值		0.315	0.394	0.001	0.016	0.617	0.324	0.000