Abstract:

Objective To analyze the effect of health education and extended nursing services for tuberculosis patients using internet QQ platform. Methods From July 2017 to December 2018, 422 tuberculosis patients diagnosed and discharged from the Xinjiang Uygur Autonomous Region Chest Hospital (change to the Eighth Affiliated Hospital of Xinjiang Medical University) were selected as the research subjects. Those who aged <15 years or >65 years; with consciousness disorders, mental illnesses or cognitive dysfunction; without normal reading or writing skills; cannot receive publicity, education or consultations on the internet QQ platform were excluded. Based on the principle of voluntary participation and enrollment of patients, 422 cases were divided into the telephone follow-up group (control group, regular telephone follow-up for health education and extended services, n=211) and internet QQ platform+telephone follow-up group (observation group, the health education and extended services were carried out by internet QQ platform implements and telephone). Improvements after intervention, 3-month after discharge of the two groups, including medication compliance (using the Morisky scale), satisfaction with consultation services, dietary guidance, adherence to medication, rehabilitation exercise, supervision and follow-up consultation, social support, and local follow-up consultation during treatment outcome guidance were analyzed. Results The patients with good medication compliance in the observation group were significantly higher than those in the control group (63.51% (134/211) vs. 46.92% (99/211), χ²=16.060, P=0.000). In the observation group, improvements during the disease treatment, including diet guidance, persistent on taking medication, rehabilitation exercise, actively participate in society activities or continued work to communicate with others, guide to local follow-up consultation results were all significantly higher than those in the control group (91.47% (193/211) vs. 65.88% (139/211), χ²=42.401; 80.09% (169/211) vs. 63.03% (133/211), χ²=16.884; 77.25% (163/211) vs. 54.03% (114/211), χ²=26.664; 79.62% (168/211) vs. 61.14% (129/211), χ²=17.390; 70.62% (149/211) vs. 54.98% (116/211), χ²=11.134, respectively; all P=0.000). The proportion of patients who were very satisfied with extended care services in the observation group was significantly higher than that in the control group (96.68% (204/211) vs. 84.36% (178/211), χ²=18.897, P=0.000). Conclusion The extended nursing services by internet QQ platform could help patients and their families to grasp the knowledge of tuberculosis prevention and treatment, as well as improve the compliance with treatment and satisfaction with consulting services.

Key words: Tuberculosis,pulmonary, Patient care management, Health education, Cellular phone, Computer communication networks, Comparative study, Data interpretation,statistics