利用微信平台移动医疗改善胃食管反流病的管理:随机对照试验

IF 4 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Digestive and Liver Disease Pub Date : 2024-09-09 DOI:10.1016/j.dld.2024.08.052
Lin Tian,Gang Huang,Feng-Yu Tian,Jia-Yi Li,Xiao-Han Zhao,Xin-Rui Guo,Yan-Bo Yu
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引用次数: 0

摘要

背景胃食管反流病(GERD)是指胃内容物反流至食管,引起反酸和烧心等症状的一种临床疾病。虽然患者教育对胃食管反流病的治疗至关重要,但传统的教育模式往往难以有效改善治疗效果。方法在 2021 年 1 月至 2022 年 4 月期间,我们招募了 257 名患者,并对他们的胃食管反流病知识进行了评估。患者被随机分配到微信组(60 人),通过微信平台接受健康教育;或对照组(60 人),仅接受传统教育。结果患者对胃食管反流病的总体知晓率约为 22.3%。在坚持合理饮食、按时服药和适量运动方面,微信组的依从性优于对照组(P < 0.05)。此外,微信组的治疗效果和满意度也明显高于对照组(P < 0.05)。微信有可能促进胃食管反流病患者改变生活方式,提高依从性、治疗效果和治疗满意度。
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Improving management in gastroesophageal reflux disease through leveraging WeChat platform for mobile health care: A randomized control trial.
BACKGROUND Gastroesophageal reflux disease (GERD) refers to a clinical condition characterized by gastric content reflux into the esophagus, causing symptoms like acid regurgitation and heartburn. While patient education is essential for GERD treatment, traditional educational models often struggle to effectively improve treatment outcomes. METHODS Between January 2021 and April 2022, we enrolled 257 patients and assessed their GERD knowledge. The patients were randomly assigned to either the WeChat group (60 participants) for health education via WeChat platform or the control group (60 participants) for conventional education only. GERD-Q scores were collected at 1, 3, and 6 months post-intervention, with compliance and satisfaction assessed at the study's conclusion. RESULTS The overall awareness rate of GERD among patients was approximately 22.3 %. The WeChat group showed better compliance than the control group in terms of adhering to a proper diet, taking medication on time, and engaging in moderate exercise (P < 0.05 for all). Furthermore, the WeChat group demonstrated significantly higher treatment effectiveness and satisfaction than the control group (P < 0.05 for all). CONCLUSION Patients have a relatively low level of knowledge regarding GERD. WeChat has the potential to facilitate lifestyle changes and improve compliance, treatment effectiveness, and treatment satisfaction among patients with gastroesophageal reflux disease.
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来源期刊
Digestive and Liver Disease
Digestive and Liver Disease 医学-胃肠肝病学
CiteScore
6.10
自引率
2.20%
发文量
632
审稿时长
19 days
期刊介绍: Digestive and Liver Disease is an international journal of Gastroenterology and Hepatology. It is the official journal of Italian Association for the Study of the Liver (AISF); Italian Association for the Study of the Pancreas (AISP); Italian Association for Digestive Endoscopy (SIED); Italian Association for Hospital Gastroenterologists and Digestive Endoscopists (AIGO); Italian Society of Gastroenterology (SIGE); Italian Society of Pediatric Gastroenterology and Hepatology (SIGENP) and Italian Group for the Study of Inflammatory Bowel Disease (IG-IBD). Digestive and Liver Disease publishes papers on basic and clinical research in the field of gastroenterology and hepatology. Contributions consist of: Original Papers Correspondence to the Editor Editorials, Reviews and Special Articles Progress Reports Image of the Month Congress Proceedings Symposia and Mini-symposia.
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