Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Department of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
J Infect Dev Ctries. 2021 Nov 30;15(11):1670-1676. doi: 10.3855/jidc.14935.
To investigate the effectiveness of the case management mode on the application of smear-positive pulmonary tuberculosis patients.
This was a randomized control trial. A total of 70 newly diagnosed smear-positive pulmonary tuberculosis patients were recruited and been randomly divided into experimental group and control group, with 35 participants in each group. In the experimental group, patients received the tuberculosis case management mode based on the conventional management mode. In the control group, patients received the routine management mode. We compared the knowledge, attitude, and practice score; sputum-negative conversion rate, effective imaging rate of the two groups at the time of initial admission, discharge, and one month after discharge.
The results showed that there was no significant difference in baseline data between the two groups (p > 0.05); at the time of discharge and one month after discharge, the knowledge, belief, behavior, sputum-negative conversion rate, and imaging examination effective rate of the experimental group were higher than those of the control group (p < 0.05).
The case management mode can improve the knowledge, attitude, and practice level; sputum-negative conversion rate; and imaging efficiency of newly treated smear-positive pulmonary tuberculosis patients.
为了调查病例管理模式对涂阳肺结核患者应用的效果。
这是一项随机对照试验。共招募了 70 例新诊断的涂阳肺结核患者，将其随机分为实验组和对照组，每组 35 例。实验组患者在常规管理模式的基础上接受肺结核病例管理模式。对照组患者接受常规管理模式。我们比较了两组患者在初诊时、出院时和出院后一个月的知识、态度和实践评分；痰转阴率、有效影像学率。
两组患者的基线资料比较差异无统计学意义（p＞0.05）；出院时和出院后一个月，实验组的知识、信念、行为、痰转阴率、影像学检查有效率均高于对照组（p＜0.05）。
病例管理模式可以提高初治涂阳肺结核患者的知识、态度和行为水平；痰转阴率；以及影像学效率。
