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目的探讨微信在耐多药肺结核病人健康教育中的应用效果。方法选取2014年1月—2015年12月在深圳市慢性病防治中心就诊的120例耐多药肺结核患者,随机分为观察组和对照组各60例。两组患者均在专科护士及医师的指导下实施相同的健康教育内容。其中观察组采用微信视频进行服药督导及随访,对照组采用传统的三级督导点服药及电话随访。6个月后进行耐多药肺结核核心知识掌握情况和依从性比较。结果观察组患者耐多药肺结核核心知识掌握情况和依从性均高于对照组,差异具有统计学意义(P<0.05)。6个月后随访,观察组患者规则服药率、按时复查率均明显高于对照组。结论微信健康教育方式可以有效提高耐多药肺结核患者核心知识掌握水平,提高治疗依从性,值得推广。
Objective To explore the effect of WeChat on the health education of multi-drug resistant pulmonary tuberculosis patients. Methods A total of 120 MDR-TB patients were selected from January 2014 to December 2015 in Shenzhen Center for Chronic Disease Control and were randomly divided into observation group and control group with 60 cases each. Both groups of patients under the guidance of specialist nurses and physicians to implement the same content of health education. The observation group used WeChat video for medication supervision and follow-up, while the control group used the traditional three-level supervision point to take medicine and telephone follow-up. Six months later, MDR-TB core knowledge and compliance were compared. Results In the observation group, core knowledge of multidrug-resistant pulmonary tuberculosis and compliance were higher than those in the control group, with statistical significance (P <0.05). Follow-up 6 months later, the observation group patients regular medication rate, on-time review rates were significantly higher than the control group. Conclusion WeChat health education can effectively improve the core knowledge of patients with multidrug-resistant pulmonary tuberculosis and improve treatment adherence, which is worth promoting.