关键词: 结核, 肺/药物疗法, 病人依从, 便携式电话, 电信, 药物疗法管理

Abstract: Objective  To evaluate the effect of mobile phone model of case management subproject of China MOH-Gates project, and provide reference for promotion of mobile phone text messages on the management of TB cases.   Methods  During the project implementation period, a total of 533 new pulmonary TB patients were diagnosed in Chongchuan and Tongzhou district of Nantong city, among which 270 were enrolled in Gates project. According to the digit table method, 100 cases were randomly selected in Gates-group and non-Gates group respectively as case and control group to investigate their treatment compliance at the end of intensive period and treatment completion.   Results  At the end of 2-month intensive period,94.0%（94/100） and 79.0%（79/100） of patients took medicine regularly in the case and control group respectively, and the difference is statistically significant(χ²=144 508.67，P＜0.05); 92.0%（92/100）and 75.0%（75/100）of patients returned the clinic for follow-up examination timely, the difference is statistically significant (χ²=10.49，P＜0.05). While at the end of 6-month treatment, the rates of regularly taking medicine were 84.0%（84/100） and 48.0%（48/100）respectively, and the difference is statistically significant(χ²=28.87，P＜0.05); so is the rates of follow-up examination on time, 81.0%（81/100） and 40.0%（40/100） respectively(χ²=35.17，P＜0.05).    Conclusion  The patients managed by mobile phone text messages has better compliance than the control group, therefore this mode should be promoted.

Key words: Tuberculosis,pulmonary/drug therapy, Patient complicance, Cellular phone, Telecommunications, Medication therapy management