关键词: 结核, 肺/药物疗法, 结核，肺/预防和控制, 病人医护管理, 问卷调查, 上海市

Abstract: ObjectiveTo evaluate the quality and effectiveness of treatment and management of pulmonary tuberculosis in Minhang district,Shanghai, so as to provide scientific evidence for further implementation of treatment and management. MethodsA questionnaire survey was conducted among the new TB patients who registered in 2007. Four hundred and thirty-seven (140 household people and 297 people of floating population)valid questionnaires were recovered. ResultsDuring the treatment of the TB patients, community physicians carried out regular visits and multi-directional guidance to patients through a variety of ways. The majority of patients were willing to accept the doctor’s regular supervision, but there is no need for DOT management. The patients’ awareness rates of the relevant information of tuberculosis prevention and control were better, but the overall awareness was low. There were no significant difference in supervision will and awareness rates between the patients of the household register and the floating population. 43.3% patients selected the district hospital for treatment as the first health care seeking, and only 10.3% patients selected TB dispensary. 38.2% patients were care seeking delay while 23.6% were diagnosis delay. The successful treatment rate was 92.2%, which was higher in floating population than household registration patients, and there was significantly difference between these two groups. ConclusionsThe management Methods of TB patients in Minhang district are successful, which effectively improve the patients’ compliance and successful treatment rate. But public awareness of tuberculosis should be enhanced, and TB suspects and patients should be informed to visit TB dispensary for diagnosis. This can improve the centralized management efficiency.

Key words: Tuberculosis,pulmonary/drug therapy, Tuberculosis,pulmonary/prevention & control, Patient care management, Questionnaires, Shanghai city