Effectiveness of a case management model in newly treated smear-positive pulmonary tuberculosis patients

  • YanLing Li Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • Ying Wang Department of Integrated Traditional Chinese and Western Medicine, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • GaiJing Wang Department of Gynecology, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • YiLin Wang Class 1 of the five-year clinical medicine major of grade 2020, School of basic medicine, Shandong University, Jinan, China
  • YanQing Tian Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • SiWei Zhu Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • Jiao Chen Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China
  • LiLi Diao Department of tuberculosis, Affiliated Hospital of Hebei University, Baoding, Hebei, China
Keywords: Case management, Newly diagnosed smear positive pulmonary tuberculosis, KAP level, Sputum negative conversion rate, Imaging examination

Abstract

Introduction: To investigate the effectiveness of the case management mode on the application of smear-positive pulmonary tuberculosis patients.

Methodology: 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.

Results: 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).

Conclusions: 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.

Published
2021-11-30
How to Cite
1.
Li Y, Wang Y, Wang G, Wang Y, Tian Y, Zhu S, Chen J, Diao L (2021) Effectiveness of a case management model in newly treated smear-positive pulmonary tuberculosis patients. J Infect Dev Ctries 15:1670-1676. doi: 10.3855/jidc.14935
Section
Original Articles