摘要
目的:分析内蒙古自治区肺结核患者使用电子药盒和手机微信为代表的智能健康管理工具的影响因素,为数字技术的推广工作提供经验。方法:利用“中国疾病预防控制信息系统”和易督导系统中的数据,分析2023年1月1日至12月31日内蒙古自治区8043例肺结核患者智能健康管理工具的使用率和影响因素。结果:2023年内蒙古自治区肺结核患者智能健康管理工具的使用率为87.91%(7071/8043)。单因素分析结果显示:性别(χ^(2)=4.827,P=0.028)、职业(χ^(2)=12.823,P=0.012)、人口类型(χ^(2)=5.471,P=0.019)、诊断分类(χ^(2)=8.803,P=0.032)和地区(χ^(2)=376.284,P<0.001)之间的使用率差异均有统计学意义。多因素logistic回归分析结果显示:男性(OR=0.84,95%CI:0.72~0.97)、家务及待业(OR=0.71,95%CI:0.60~0.85)、本地患者(OR=0.43,95%CI:0.20~0.93)、病原学检测结果为阴性(OR=0.86,95%CI:0.74~0.99)、中部地区(OR=0.15,95%CI:0.12~0.18)和东部地区(OR=0.38,95%CI:0.31~0.46)的患者智能健康管理工具使用率较低,但诊断分类为结核性胸膜炎(OR=1.56,95%CI:1.06~2.28)的患者使用率较高。结论:2023年内蒙古自治区肺结核患者智能健康管理工具的使用率较高,但应重视男性、家务及待业、本地、病原学检测结果为阴性、中部以及东部地区患者的健康管理工作。
Objective:To analyse the influencing factors of the use of intelligent health management tools such as electronic pillbox and mobile WeChat among patients with pulmonary tuberculosis(PTB)in Inner Mongolia Autonomous Region,and to provide experiences for the promotion of digital technology.Methods:With data from the China Information System for Disease Control and Prevention and Easy Supervision System,we analyzed the acceptance and influencing factors of the use of intelligent health management tools among 8043 PTB patients in Inner Mongolia Autonomous Region from 1 January to 31 December 2023.Results:The usage rate of intelligent health management tools among PTB patients was 87.91%(7071/8043)in Inner Mongolia Autonomous Region in 2023.Univariable analysis revealed statistically significant differences in gender(χ^(2)=4.827,P=0.028),occupation(χ^(2)=12.823,P=0.012),demographic classification(χ^(2)=5.471,P=0.019),diagnostic classification(χ^(2)=8.803,P=0.032),and areas(χ^(2)=376.284,P<0.001).Multivariable logistic regression analysis showed that male(OR=0.84,95%CI:0.72-0.97),domestic and unemployed(OR=0.71,95%CI:0.60-0.85),local patients(OR=0.43,95%CI:0.20-0.93),bacteriologically negative(OR=0.86,95%CI:0.74-0.99),central area(OR=0.15,95%CI:0.12-0.18)and eastern area(OR=0.38,95%CI:0.31-0.46)had a lower use of the intelligent health management tools,while the patients with tuberculosis pleurisy showed a higher use of the tools(OR=1.56,95%CI:1.06-2.28).Conclusion:The acceptance of intelligent health management tools for PTB patients was relatively high in Inner Mongolia Autonomous Region in 2023,however,attention should be paid to the health management for male patients,domestic and unemployed patients,local patients,bacteriologically negative patients,and patients from the central and eastern regions.
作者
张苇乐
李东旭
王丽伟
苏敏
高雨龙
Zhang Weile;Li Dongxu;Wang Liwei;Su Min;Gao Yulong(School of Public Management,Inner Mongolia University,Hohhot 010070,China;School of Public Health,Jining Medical University,Jining 272067,China;Center for Disease Control and Prevention,Inner Mongolia Autonomous Region,Hohhot 010070,China)
出处
《中国防痨杂志》
2025年第10期1318-1325,共8页
Chinese Journal of Antituberculosis
基金
国家自然科学基金(72164031,72204128)
内蒙古医学科学院联合基金重大项目(2023GLLH0042)。
关键词
结核
肺
数字依从性技术
电子药盒
手机微信
因素分析
统计学
Tuberculosis,pulmonary
Digital adherence technology
Electronic pillbox
Mobile WeChat
Factor analysis,statistical
作者简介
通信作者:苏敏,Email:sumin1227@126.com;通信作者:高雨龙,Email:nmghhgyl@126.com。
