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中国防痨杂志 ›› 2010, Vol. 32 ›› Issue (6): 37-39.

• 论著 • 上一篇    下一篇

宁夏山区3县涂阳肺结核病患者依从性及其影响因素的调查分析

王晓林, 杨旭雯   

  1. 宁夏回族自治区结核病防治所;
  • 出版日期:2010-06-20 发布日期:2010-06-20
  • 基金资助:

    首都医学发展科研基金(2007-3069)

Analysis of treatment compliance and its impact factors of smear-positive pulmonary tuberculosis patients in 3 mountainous counties of Ningxia

Wang Xiaolin; Yang Xuwen   

  1. Ningxia TB institution; Yinchuan 750021; China;
  • Online:2010-06-20 Published:2010-06-20
  • Contact: Wang Xiaolin E-mail:wxldyj9662@163.com

摘要: 目的 分析宁夏山区涂阳肺结核病患者依从性及其主要的影响因素,为山区涂阳肺结核患者治疗管理工作的改善提供科学依据。 方法 采用分层整群系统随机抽样方法 ,入户面对面问卷调查,个人访谈。 结果宁夏山区涂阳肺结核病患者服药依从性、复查依从性达到了96.2%、89.4%。药物不良反应、复查距离为影响依从性的主要因素。 结论 充分的健康教育提高了患者的依从性。进一步改进结核药物剂型和使用方式,政府为贫困患者适当提供就医时的交通费、食宿费用和肝功能检查费,避免因经济困难而影响依从性。

关键词: 结核, 肺/药物疗法, 病人依从, 问卷调查, 宁夏[回族自治区]

Abstract: Objective To analysis the treatment compliance and its influential factors of the smear-positive pulmonary TB patients in Mountainous area of Ningxia, in order to provide science evidence for patients’ management. Methods A stratified cluster random sampling method was adopted, and households’ face to face questionnaire survey and personal interviews were conducted. Results Medication compliance, re-examination compliance reached 96.2%, 89.4% respectively. Adverse drug response, distance from home to TB institutions are the main factors affecting compliance. Conclusion s Adequate health education could increase the patients’ compliance. The mode of drug formulations and medication should be further improved. Government could provide appropriate transportation expenses and accommodation costs and liver function test fee to poor patients in order to avoid low compliance caused by economic difficulties.

Key words: tuberculosis,pulmonary/drug therapy, patient compliance, questionnaires, Ningxia

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