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林勇明, 严非, 陈求扬, 刘晓云, 吴能键. 肺结核病患者治疗依从性影响因素分析[J]. 中国公共卫生, 2006, 22(12): 1468-1469. DOI: 10.11847/zgggws2006-22-12-34
引用本文: 林勇明, 严非, 陈求扬, 刘晓云, 吴能键. 肺结核病患者治疗依从性影响因素分析[J]. 中国公共卫生, 2006, 22(12): 1468-1469. DOI: 10.11847/zgggws2006-22-12-34
LIN Yongming, YAN Fei, CHEN Qiuyang, . Analysis on influence factors of compliance in patients with anti-tuberculosis chemotherapy[J]. Chinese Journal of Public Health, 2006, 22(12): 1468-1469. DOI: 10.11847/zgggws2006-22-12-34
Citation: LIN Yongming, YAN Fei, CHEN Qiuyang, . Analysis on influence factors of compliance in patients with anti-tuberculosis chemotherapy[J]. Chinese Journal of Public Health, 2006, 22(12): 1468-1469. DOI: 10.11847/zgggws2006-22-12-34

肺结核病患者治疗依从性影响因素分析

Analysis on influence factors of compliance in patients with anti-tuberculosis chemotherapy

  • 摘要:
      目的   了解影响肺结核病患者抗结核治疗依从性的相关因素。
      方法   应用定量研究与定性研究相结合的方法,对肺结核患者进行问卷调查和深入访谈。
      结果   66.2%的患者治疗过程中有医生督导,但74.5%的患者认为没有必要专人督导服药;16.2%的患者在治疗过程中有漏服药,仅3.7%的患者中断治疗;影响治疗依从性的因素有患者意识因素(认为治疗一段时间症状好转后可停药、认为抗结核化疗时间不需要6个月和出现药物副反应后的处理方法为立即停药)和卫生服务提供方行为因素(在治疗期间有专人督导服药,上级医生督导次数)。
      结论   加强结核病的健康促进工作,提高全民结核病防治知识知晓率,增强患者的结核病防治意识,从而提高治疗依从性;落实医务人员的督导行为,加大上级医生对村医和患者双方的督导,真正执行直接面视下的短程化。

     

    Abstract:
      Objective   To evaluate the correlated factors affecting patient compliance with anti-tuberculosis chemotherapy.
      Methods   Quantitative and qualitative combined were carried out among tuberculosis patients.
      Results   66.2% of cases followed up by health workers,but 74.5% of them considered that it was necessary to use the directly observed treatment; 16.2% of cases had missed doses,only 3.7% defaulted;Affecting compliance was associated with patient's intentioned factors(would leave off doses when the symptom made it,didn't know the correct duration of anti2tuberculosis treatment,would adopt left medicines as soon as the drugs side2effect was onset)and the health services provider's behavior factors(using the directly observed treatment,times of superior doctors supervised).
      Conclusion   To strengthen TB control health promotion;to improve the knowledge of tuberculosis prevention and control among residents;to patients consciousness and compliance;To carry outhealth workers supervised behavior;strengthen superior doctors intendance with village health workers and patients; to implement the directly observed treatment short2course strategy.

     

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