视频直接观察疗法 (VDOT) 对巴西结核病治疗的贡献
Luana Michelly Aparecida Costa Dos Santos1,2, Alan Maicon de Oliveira3,4,5, Guilherme José Aguilar2,6
1Department of Public Health, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.
视频直接观察疗法 (VDOT) 为结核病 (TB) 治疗监督提供了远程解决方案. 这项研究发现,VDOT改善了患者的坚持和治疗完成,显示了传统直接观察治疗 (DOT) 的补充承诺.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 远程医疗远程医疗
背景情况:
- 直接观察治疗 (DOT) 对结核病 (TB) 坚持至关重要,但面临着后勤挑战.
- 实地实施DOT需要大量的医疗保健资源,包括人员和时间.
- 高结核病患者的需求往往超过传统的DOT监督能力.
研究的目的:
- 评估视频直接观察疗法 (VDOT) 在结核病治疗中的有效性和接受度.
- 评估VDOT对患者坚持治疗和治疗完成率的影响.
- 探索VDOT作为传统DOT的补充策略.
主要方法:
- 远程医疗平台 (VDOT) 用于通过手机视频远程监控结核病患者的治疗.
- 收集了来自巴西里贝拉诺普雷托五个医疗保健单位的259名患者的数据 (2020年5月至2023年5月).
- 分析了26,253个药物摄入视频,重点关注坚持,放弃和治愈率.
主要成果:
- 由于放弃而导致的VDOT随访终止率低至9.7%.
- 治愈/治疗完成率达到57.5%.
- 67%的患者完成了超过66%的TB治疗.
结论:
- VDOT在患者和医疗保健专业人员中得到了很好的接受.
- VDOT是一个有前途的工具,可以提高结核病治疗的坚持,减少结核病治疗的放弃.
- VDOT可以扩大监督治疗的范围,补充传统的DOT.
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