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中国防痨杂志 ›› 2017, Vol. 39 ›› Issue (12): 1324-1329.doi: 10.3969/j.issn.1000-6621.2017.12.014

• 论著 • 上一篇    下一篇

山东省肺结核患者对手机督导模式的满意度和接受度调查

孙晓英, 程俊, 初磊, 边学峰, 骆斌, 景睿   

  1. 250101 济南,山东省胸科医院结核病防治中心(孙晓英、程俊、初磊、骆斌、景睿);
    济南市疾病预防控制中心结核病防治所(边学峰)
  • 收稿日期:2017-07-30 修回日期:2018-01-10 出版日期:2017-12-10 发布日期:2018-01-11
  • 通信作者: 程俊,Email: chengjun66@126.com
  • 基金资助:

    山东省医药卫生科技发展计划项目(2013WS0150)

Investigation of the satisfaction and acceptance of mobile supervision mode among pulmonary tuberculosis patients in Shandong

SUN Xiao-ying, CHENG Jun, CHU Lei, BIAN Xue-feng, LUO Bin, JING Rui   

  1. Shandong Province Chest Hospital, Jinan 250101, China
  • Received:2017-07-30 Revised:2018-01-10 Online:2017-12-10 Published:2018-01-11
  • Contact: CHENG Jun,Email:chengjun66@126.com

摘要: 目的 了解山东省肺结核患者对手机督导模式的满意度和接受程度及其影响因素,探索该模式的适宜人群,为进一步的推广使用提供依据。方法 本研究采用随机数字表法在山东省抽取10个地市,对2012年4月1日至2013年3月31日期间在烟台、临沂、泰安、聊城、淄博、枣庄、济宁、菏泽、德州及滨州等10个地市的10个项目县(区)就诊的初治肺结核患者共计910例纳入研究。采用自行设计的问卷进行面对面调查,回收有效问卷910份,有效率100.0%(910/910)。采用EpiData3.1建立数据库,进行双录入,用SPSS 18.0软件进行分析。采用χ2检验进行统计学处理,以P<0.05 为差异有统计学意义。结果 肺结核患者对手机督导模式总体满意度和接受度均较高,选择非常满意的比例为31.8%(289/910),较满意的比例为41.2%(375/910)。32.8%(298/910)的患者完全接受“按照手机的提醒按时服药”,42.9%(390/910)的患者比较接受“按照手机的提醒按时服药”。18~49岁年龄组对手机督导的非常满意率(35.9%,207/577)高于≥50岁年龄组(24.7%,82/333);高中或中专的非常满意率最高(41.5%,83/200),而文盲的最低(13.8%,11/80);其他职业患者非常满意率(38.6%,169/438)高于农民工(23.1%,95/364),差异均有统计学意义(χ2值分别为4.60、16.45、6.94,P值均<0.05)。高中及以上文化水平的患者对手机督导的完全接受程度最高(41.0%,82/200),文盲的接受度最低(17.5%,14/80)(χ2=4.15,P<0.05)。其他职业的患者对手机督导的完全接受程度(38.1%,167/438)高于农业劳动者(26.9%,98/364)(χ2=4.51,P<0.05)。结论 肺结核患者对手机督导模式的满意度与接受度均较高,值得推广。还需要加强对年龄大、文化程度低、农民和农民工患者的培训和指导。

关键词: 结核,肺, 便携式电话, 病人接受度, 病人满意度, 问卷调查

Abstract: Objective The research is to study the degree of satisfaction and acceptance of the mobile supervision mode among the patients who are suffering from pulmonary tuberculosis and to explore the appropriate population in some areas within Shandong Province in order to provide evidence for further promotion. Methods Ten cities in Shandong were selected by simple random sampling as study locations. Finally, 910 TB patients were interviewed face to face who were diagnosed from 10 counties of Yantai,Linyin,Tai’an, Liaocheng, Zibo, Zaozhuang, Jining, Heze, Dezhou and Binzhou in all 10 cities during April 1st, 2012 to March 31st, 2013. 910 valid questionnaires were collected and the effective rate was 100.0% (910/910). EpiData 3.1 was used to set up the databases,and SPSS 18.0 for descriptive and χ2 test analysis,with P<0.05 as significant difference. Results TB patients had higher level satisfaction with this mode, the proportion of very satisfied to satisfied was 31.8% (289/910) to 41.2% (375/910) respectively. 32.8% (298/910) of TB patients completely accepted and 42.9% (390/910) of patients comparatively accepted “according to mobile reminders to take medicine on time”. The satisfactory rate in 18-49 years age group was 35.9% (207/577), higher than 24.7% (82/333) of over 50 yeas age group (χ2=4.60,P<0.05). The rate in high school education was 41.5% (83/200), higher than 13.8% (11/80) of illiteracy education (χ2=16.45,P<0.05). The rate in other professions was 38.6% (169/438), higher than 23.1% (95/364) of migrant workers (χ2=6.94,P<0.05). The rate of overall acceptance in high school education and above was 41.0% (82/200), higher than 17.5% (14/80) of illiteracy education (χ2=4.15,P<0.05). The rate in other professions was 38.1% (167/438), higher than 26.9% (98/364) of agriculture laborers (χ2=4.51,P<0.05). Conclusion Most pulmonary tuberculosis patients can accept and are satisfied with mobile supervision mode. This mode is worth promoting. Additional training and guidance should be given to the elderly, low education level and low-income patients.

Key words: Tuberculosis, pulmonary, Cellular phone, Degree of patient satisfaction, Level of patient acceptance, Questionnaires