战争对乌克兰结核病治疗的数字坚持技术投入的影响
N Deyanova1, C F McQuaid2, V Kochanov3
1Organization for Appropriate Technologies in Health, Kyiv, Ukraine.
IJTLD open
|January 26, 2026
概括
乌克兰的战争扰乱了对药物敏感结核病 (PWTB) 患者的数字坚持技术 (DAT) 的使用. 在入侵后,参与人数大幅下降,这凸显了冲突地区需要有弹性结核病护理的需要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 数字健康数字健康
背景情况:
- 俄罗斯2022年2月入侵乌克兰,严重影响了医疗保健系统.
- 结核病 (TB) 护理的提供受到重大干扰,影响了患者的管理和治疗坚持.
- 数字坚持技术 (DAT) 为监测结核病治疗提供了潜在的解决方案,但其在冲突环境中的有效性尚不清楚.
研究的目的:
- 评估乌克兰战争对对药物敏感结核病 (PWTB) 患者和医疗保健工作者 (HCWs) 使用数字坚持技术 (DAT) 的参与的影响.
- 评估战前,战前和战后期间DAT作战模式的变化.
主要方法:
- 在乌克兰进行了一项DAT干预的集群随机试验.
- 干预组中的PWTB接收了一个智能药盒,该智能药盒每天发送治疗提醒,并捕获了坚持数据.
- 医疗保健工作人员通过平台监测了依从数据,该平台具有手动报告剂量的能力.
- 在不同的战前和战时时期进行了DAT参与的比较.
主要成果:
- 在2021年6月至2022年期间,共注册了816个PWTB.
- 在PWTB中,总体DAT参与度在治疗日的78%至84%之间.
- 在2022年2月之后,DAT参与度显著下降.
- 受到冲突严重影响的地区,如密科莱夫斯卡和顿涅茨卡地区,在入侵后的延迟或未知依附报告中出现了三到四倍的增加.
结论:
- 战争大大破坏了DAT对PWTB的参与,特别是在受冲突影响的地区.
- 迁移和通信困难可能导致了观察到的遵守监测减少.
- 迫切需要为冲突地区的人群制定强大而有弹性的结核病护理策略.
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