Observed The Effect Of WeChat Supervision On Patients With Newly Diagnosed Pulmonary Tuberculosis

Objective To evaluate the effect of WeChat in supervision and management of patients with newly diagnosed pulmonary tuberculosis.To provide reference for the impovement of modern tuberculosis control strategy.Methods 148 cases of newly diagnosed pulmonary tuberculosis patients were randomly divided into study group and control group,each with a total of 74 cases.The study group used WeChat public and WeChat group for Sup ervision and management.Those patients were gived routine health education in the control group.Two groups were intervened for 6 months.The knowledge awareness and health education satisfaction of patients with tuberculosis were compared between the two groups in the end of January.And the phlegm composition ratio were compared too.The review and medication compliance of patients in the late of January,March and June were evaluated and compared.Data were analyzed by the following statistical methods such as the Descrip tion Analyze,Independent t-test and the Chi-square Test with SP SS21.0.Results In the first month of intervention,there was no loss of any patient,The number of cases included in incidence of tuberculosis knowledge awareness and patient health education satisfaction,phlegm composition ratio was 184.Due to referral or complications and other reasons,the study group suspended in 3 cases and the control group suspended in 4 cases in the second month.Finally,the number of cases included in the evaluation of medication compliance was 71 cases in the study group and 70 cases in the control group.1.After 1 month intervention,the total awareness rate of the core information of the study group was(97.1%),higher than the control groups(83.4%).The difference was statistically significant(x~2=42.42,P<0.001).And the total awareness rate of the specific knowledge of the study group was(93.6%),higher than the control groups(74.0%).There was significant difference(P<0.001或P<0.05)2.After 1 month intervention,the satisfaction with health education of the study group was(93.5%),higher than the control groups(70.0%).The difference was statistically significant(x~2=137.15,P<0.001).3.After 1 month intervention,the phlegm composition ratio of the study group was(96%),higher than the control groups(79.8%).The difference was statistically significant(x~2=9.11,P<0.05).4.Intervening for the first month,the third month,and the sixth month,the medication compliance average score of the study group was higher than the control group.The Chi-square Test showed that the medication compliance score of the study group was higher than that of the control group(P<0.001).As time goes on,It decreased gradually in the control group but remained good in the study group(P=0.136).Conclusions The application of WeChat in Supervision and management for patients with newly diagnosed pulmonary tuberculos can improve the awareness rate of tuberculosis knowledge,the satisfaction of patients,the compliance of sputum and medication compliance of anti tuberculosis drugs.So it can improve the treatment effect,which can be generalized in clinic.