In order to eliminate the tuberculosis, dare not stop, Nie Qi: The patient's WeChat group supervised and treated the whole process

Wuhan Evening News, July 21st News At 2 pm on July 21, Nie Qi, deputy director of the DPIC Disease Disease Disease Department of Jin Yintan Hospital in Wuhan City ended 30 hours of consecutive shifts. Picking off the iconic flower hat, her face was full of tiredness. "Some work should be prepared, and you have to change to a class with colleagues." Nie Qi said, "(July) on the 29th and 30th, we must go to Enshi on a business trip and copy our tuberculosis disease to the‘ Jinyantan model ’to be copied to Enshi Central Hospital.”

Face the patient's patience and meticulousness. Correspondent Xu Liqi

Tuberculosis has not been destroyed, and drug -resistant tuberculosis is the difficulty and focus of treatment. At present, there are only 13 years left to achieve the goal of the United Nations's "Popularity of Tuberculosis in 2035". A group of medical workers represented by Nie Qi have never dared to stop slightly.

End tuberculosis must control drug resistance tuberculosis

This year is the sixth year of Nie Qi who has been engaged in the clinical work of tuberculosis and has been engaged in drug -resistant tuberculosis.

In May 2017, the hospital leader informed her to study at Hubei Province Tuberculosis Prevention and Institute. It turned out that on December 6 of that year, according to the needs of business development, Jin Yintan Hospital decided to open a drug -resistant tuberculosis department, and Nie Qi became one of the business backbones of the new department.

The patients with tuberculosis of Jinyintan Hospital are mainly from Hubei Province and the surrounding area. Patients have three characteristics: complex and critical condition, wide crowd coverage, and high risk of discomfort. It can be said that Jin Yintan Hospital has undertaken the most difficult task of tuberculosis prevention and control in Hubei Province.

If you suffer from tuberculosis, you must standardize treatment, otherwise it is easy to cause drug resistance, and drug resistance tuberculosis is the difficulty and focus of treatment. Data show that the average treatment rate of general tuberculosis in China has exceeded 90%, but the average treatment rate of treatment of drug -resistant tuberculosis is only about 50%. Therefore, in Nie Qi's view, "in order to end the tuberculosis, you must control the tuberculosis."

Incorporate each patient into the tuberculosis network

Nie Qi found that the tuberculosis of drugs cannot be "re -treatment and light management." Because of contagious, tuberculosis is a disease that is easily "discriminated", and patients often inferiority. Drug -resistant tuberculosis patients have low compliance due to various reasons, not only difficulty in treating, but also more difficult to follow up after discharge.

Nie Qi carefully check the patient's medical records. Correspondent Xu Liqi

In order to improve the treatment in a targeted manner, Nie Qi introduced that at the management level, the hospital opened a separate drug -resistant tuberculosis area to reduce cross -hospital infection. The ward has an independent outpatient clinic, ward and planning management office. Unreasonable treatment plans cause secondary resistance. At the same time, strengthen medical prevention cooperation and supervise patients throughout the process.

The comprehensive management model of "expert consultation+medical prevention cooperation+patient care" is also known as the "Jinyin Tan Mode". At present, the hospital's drug -resistant tuberculosis treatment success rate has reached 70%, and the latest short -range scheme treatment rate of treatment can reach 83.3%, reaching the leading domestic level.

"We are not simply treating one or two patients, but we must fulfill the management functions. They must work closely with the disease control, designated hospitals, community hospitals, and even village medical rooms. Intersection, "Nie Qi said.

And more than 300 patients become WeChat friends

"As a first -line clinical staff of the tuberculosis, we must always" breathe with patients, share fate "at all times."

When I was transferred from the ICU to the Drug Resistance Tuberculosis, a critical patient and family asked to follow her with her.

An old man over seventy years does not use a bank card. His son working in a foreign country will transfer the money to Nie Qi to pay the hospital for hospitalization via WeChat. A female girlfriend in Huangshi, because of her poor family, wanted to give up treatment, Nie Qi donated money, contacted crowdfunding, provided rescue consulting to the patient through various efforts, and finally helped her complete the treatment.

Nie Qi routine inspection. Correspondent Xu Liqi

In order to supervise patients throughout the process, Nie Qi has formed multiple WeChat groups and added WeChat from more than 300 patients. In the group, she urged hundreds of drug -resistant tuberculosis patients to take medicines on time, review, and make appointments; psychological counseling to patients, science education for family members, and helping patients and family members to build confidence in defeating diseases. Sometimes this chat is early in the morning.

Repeating a piece of seemingly trivial, but it is very important for patients. Nie Qi is a patient who can get rid of illness and torture as soon as possible and restore health. "I just did what I should do." She said, "I hope more young physicians will join, everyone will work hard to overcome the tuberculosis."

(Reporter Zhang Jian correspondent Lin Kun Xu Li))

[Edit: Yu Lina]

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