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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (7): 682-686.doi: 10.3969/j.issn.1000-6621.2020.07.008

• 新技术·方法 • 上一篇    下一篇

使用电子药盒辅助肺结核患者服药管理的实施情况分析

王倪*, 张慧, 张铁娟, 陈彬, 雷娟, 孙苗苗, 黄飞()   

  1. 102206 北京,中国疾病预防控制中心结核病预防控制中心(王倪、张慧、黄飞);吉林省结核病防治科学研究院防治所(张铁娟);浙江省疾病预防控制中心结核病防治所(陈彬);宁夏回族自治区第四人民医院结核病防治科(雷娟);美国帕斯北京代表处(孙苗苗)
  • 收稿日期:2020-05-02 出版日期:2020-07-10 发布日期:2020-07-09
  • 通信作者: 黄飞 E-mail:huangfei@chinacdc.cn
  • 基金资助:
    中华人民共和国国家卫生健康委员会-比尔及梅琳达·盖茨基金会结核病防治合作项目(OPP1137180)

Analysis of using electronic pillbox to assist the medication management of pulmonary tuberculosis patients

WANG Ni*, ZHANG Hui, ZHANG Tie-juan, CHEN Bin, LEI Juan, SUN Miao-miao, HUANG Fei()   

  1. *National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2020-05-02 Online:2020-07-10 Published:2020-07-09
  • Contact: HUANG Fei E-mail:huangfei@chinacdc.cn

摘要:

分析2018年7月至2019年6月吉林省、浙江省和宁夏回族自治区全面推广电子药盒辅助肺结核患者治疗管理的实施情况。研究期间3省(自治区)共登记活动性肺结核患者22229例,其中14659例患者使用了电子药盒, 2018年第3季度电子药盒使用率为57.9%(2138/3695),而2019年2季度达到78.6%(4774/6071)。在患者的治疗过程中,电子药盒坚持使用率逐月下降,疗程2个月末为95.3%(13965/14659),疗程6个月末为85.0%(12454/14659)。使用电子药盒的患者中72.5%(10622/14659)有服药记录,其中规则服药率为82.3%(8746/10622)。本研究进一步证明了推广新型患者服药管理方式的可行性, 对电子药盒在我国的进一步推广有较大参考价值。

关键词: 结核, 肺, 药物疗法, 病例管理, 结核与过程评价(卫生保健), 电子健康记录, 电子药盒

Abstract:

We analyzed the implementation result of using electronic pillbox to assist the medication management for people with pulmonary tuberculosis (PTB) in Jilin, Zhejiang and Ningxia among July 2018 to March 2019. Of 22229 patients, 14657 used electronic pillbox, the rate of electronic pillbox using in the third quarter of 2018 was 57.9% (2138/3695), but 78.9% (4774/6071) in the second quarter of 2019. During the treatment process, the uptake rate of pillbox decreased by month, 95.3% (13965/14659) at the end of second month and 85.0% (12454/14659) at the end of six month. 72.5% (10622/14659) of the patients using pillbox had adherence medication records, of which the adherence medication rate was 82.3% (8746/10622). The results of this study further proved the feasibility for implementing the new method of patient management, and provide implementation experience for the further scale up of electronic pillbox in China.

Key words: Tuberculosis, pulmonary, Drug therapy, Case management, outcome assessment (health care), Electronic health records, Medicine monitor