WeChat Management Mode Direct Face-to-face Short-term Supervised Chemotherapy Tuberculosis Activity Self Management Ability
目的：探讨微信管理模式应用于肺结核患者治疗管理中的效果，以期为肺结核患者的规范管理提供参考。方法：将2021年3月至2022年3月期间中国疾病预防控制信息系统中天津市宝坻区的600例肺结核患者作为研究对象，按照随机数字表法，分为对照组（n=300）和观察组（n=300）。对照组按照常规给予直接面视下短程督导化疗管理，观察组在对照组基础上联合微信管理模式干预，观察两组患者结核活动性、自我管理能力、规则服药情况和治疗转归情况。结果：干预后，两组患者C反应蛋白、红细胞沉降率水平均较干预前降低，且观察组低于对照组；两组患者慢性病自我管理研究测量表评分各维度均较干预前升高，且观察组高于对照组（P < 0.05）；观察组规则服药率（96.67%）高于对照组（85.00%），观察组痰液结核杆菌检测阴转率（91.67%）高于对照组（78.33%）（P < 0.05）。结论：微信管理模式应用于肺结核患者治疗管理可以降低结核活动度，提高患者自我管理能力，改善规律服药情况和治疗转归情况。
Objective：To explore the effectiveness of WeChat management model in the treatment and management of pulmonary tuberculosis patients，to provide reference for the standardized management of pulmonary tuberculosis patients. Method：A total of 600 pulmonary tuberculosis patients from Baodi District，Tianjin in the China Disease Prevention and Control Information System from March 2021 to March 2022 were selected as the study subjects，and were randomly divided into a control group（n=300）and an observation group（n=300）using a random number table method. The control group was given direct observed treatment short course chemotherapy（DOTS）management as a routine，while the observation group was intervened with WeChat management mode on the basis of the control group. The tuberculosis activity，self-management ability，regular medication use，and treatment outcomes of the two groups of patients were observed. Results：After the intervention，the levels of C-reactive protein（CRP）and erythrocyte sedimentation rate（ESR）in both groups of patients decreased compared to before the intervention，and the observation group was lower than the control group.The Chronic Disease Self Management Study Measures（CDSMS）scores of both groups of patients increased in all dimensions compared to before intervention，and the observation group was higher than the control group（P < 0.05）；The regular medication taking rate in the observation group（96.67%）was higher than that in the control group（85.00%），and the qualified rate of sputum tuberculosis bacteria test in the observation group（91.67%）was higher than that in the control group（78.33%）（P < 0.05）. Conclusion：The application of WeChat management model in the treatment and management of pulmonary tuberculosis patients can reduce tuberculosis activity，improve self-management ability，improve regular medication use and treatment outcomes.