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中国防痨杂志 ›› 2018, Vol. 40 ›› Issue (5): 519-524.doi: 10.3969/j.issn.1000-6621.2018.05.015

• 论著 • 上一篇    下一篇

我国12省结核病门诊和实验室感染控制管理措施实施现状的抽样调查及其主成分分析

王晓宁,何天伦,耿梦杰,宋渝丹,赵飞(),何广学()   

  1. 102206 北京,中国疾病预防控制中心科技处(王晓宁、宋渝丹、何广学),传染病预防控制处(耿梦杰),结核病预防控制中心(赵飞);北京工业大学经济与管理学院(何天伦)
  • 收稿日期:2018-03-08 出版日期:2018-05-10 发布日期:2018-06-12
  • 通信作者: 王晓宁,赵飞,何广学 E-mail:zhaofei@chinatb.org;hegx@chinacdc.cn
  • 基金资助:
    牛津大学结核病耐药综合预测国际合作研究(210101)

The investigation of current status of administrative controls on tuberculosis infection control in tuberculosis outpatient departments and laboratories in 12 provinces and its principal component analysis

Xiao-ning WANG,Tian-lun HE,Meng-jie GENG,Yu-dan SONG,Fei ZHAO(),Guang-xue HE()   

  1. The Department of Science and Technology of Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2018-03-08 Online:2018-05-10 Published:2018-06-12
  • Contact: Xiao-ning WANG,Fei ZHAO,Guang-xue HE E-mail:zhaofei@chinatb.org;hegx@chinacdc.cn

摘要:

目的 对各级结核病防治机构(简称“结防机构”)门诊和实验室结核感染控制中管理措施的实施现状进行统计分析及其主成分分析,为进一步规范结防机构结核病感染控制管理措施的实施提供依据。方法 采用现场观察和现场询问的方式调查我国12省212家结防机构(采用目的抽样和典型抽样相结合的方法抽取)的门诊和实验室结核感染控制中管理措施的实施情况,调查内容包括调查机构的优先就诊措施、患者隔离措施、健康教育和痰盂放置等14个指标,收集各项指标数据并进行描述性分析和主成分分析。结果 结防机构在结核病门诊提供结核感染控制宣传资料、为就诊者在就诊前进行常规咳嗽筛查和实验室优先收治疑似传染性肺结核患者标本这三个方面的实施率较高,分别为88.2%(187/212)、85.4%(181/212)和84.9%(180/212)。在咳嗽患者排队就诊时门诊有单独的候诊区和门诊放置带盖痰盂方面,被调查机构的实施率仅为54.2%(115/212)和47.6%(101/212)。管理措施主成分分析将指标由14个指标概括为7个主成分因子,分别为门诊对就诊者的隔离和优先就诊综合因子、门诊对患者早隔离措施因子、就诊者自我隔离措施因子、门诊健康宣传教育措施因子、实验室对传染性患者优先收取标本因子、门诊放置带盖痰盂因子和门诊指定留痰区域因子。结论各级结防机构结核感染控制的管理措施实施还不到位;主成分分析方法能够将14个指标综合为7个主成分,综合反映结防机构结核病门诊和实验室结核感染控制中管理措施的实施情况,并根据主成分因子及其贡献率形成综合评价模型。

关键词: 结核, 卫生系统机构, 门诊医疗, 实验室, 感染控制, 主成分分析

Abstract:

Objective To analyze the implementation status of administrative controls of tuberculosis (TB) infection control in TB outpatient clinics and laboratories at all levels, and to find the principal component index in order to provide references for regulating the implementation of administrative controls in these facilities.Methods On-site observation and inquiry were used to investigate the implementation of administrative controls in TB outpatient clinics and laboratories of 212 TB control facilities. The survey contents included totally 14 items, such as early detection, isolation, health promotion and the using of spittoon with cover, etc. Data were analyzed in descriptive analysis and principal component analysis.Results The rates of implementation of providing health promotion materials in TB outpatient clinics, cough screening for patients and preferentially accepting sputum sample of suspected TB patients in laboratories were higher, which were separately 88.2% (187/212), 85.4% (181/212) and 84.9% (180/212). The rates of implementations of providing separate waiting rooms and spittoons with cover in TB outpatient clinics for patients with cough were lower, which were 54.2% (115/212) and 47.6% (101/212) respectively. Fourteen items of administrative controls were generalized into seven principal components: the comprehensive factor of separating patients and preferentially seeing a doctor in TB outpatient clinics, the factor of early separating patients in TB outpatient clinics, the factor of self-separating of patients, the factor of TB health promotion in out-patient departments, the factor of preferentially accepting sputum sample of suspected patients in laboratories, the factor of placing spittoon with cover in outpatient department and the factor of designating sputum collection area in outpatient department.Conclusion The implementation of administrative controls in different level TB facilities are insufficient. The principal component analysis transforms factors into seven comprehensive factors to reflect the implementation of administrative controls in TB outpatient departments and laboratories of TB facilities, and a comprehensive evaluation model is made according to seven principal factors and their contribution rates.

Key words: Tuberculosis, Health systems agencies, Outpatient medical care, Laboratories, Infection control, Principal component analysis