综合数字工具如何改善结核病药物坚持:中国的一项纵向研究
Xiaojun Wang1, Qian Fu2, Meilan Zhou1
1Wuhan Institute for Tuberculosis Control, Wuhan Pulmonary Hospital, Wuhan, China.
概括
一个集成的数字干预显著改善了结核病药物坚持. 与传统方法相比,结合微信,电子监视器和提醒可以提高患者的服从性.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 传染病管理 传染病管理
背景情况:
- 药物不良服药是结核病 (TB) 治疗的一个重大挑战.
- 数字技术显示出改善结核病治疗结果的前景.
- 关于结合多种方法的综合数字干预措施有效性的数据有限.
研究的目的:
- 评估针对结核病患者的综合数字坚持干预措施的有效性.
- 评估一个综合平台的影响,结合微信,电子药物监测器 (EMM) 和手动提醒,对结核病药物遵守.
- 改进结核病护理中数字坚持技术的可访问性和利用性.
主要方法:
- 开发了一个数字执法干预平台,集成微信消息,EMM和手动提醒.
- 在2022年1月至6月期间,来自10家医院和220个社区的新诊断的结核病患者被招募.
- 用后勤回归分析对数字 (微信,EMM) 和传统组进行了患者特征和治疗坚持的比较.
主要成果:
- 总共有2,498名结核病患者被纳入;14.5%使用数字技术.
- 微信 (95.3%) 和EMM (95.7%) 组的中位数药物使用率明显高于传统组 (83.8%).
- 在64.7% (微信) 和64.5% (EMM) 的患者中观察到高守率 (≥90%),而在常规组中为43.2%.
结论:
- 集成的数字坚持干预平台显著提高了结核病患者的药物坚持.
- 整合相辅相成的数字技术可以提高加入支持的可访问性和有效性.
- 这种方法为改善结核病治疗结果提供了一个有希望的策略,通过加强患者的遵守.
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