关键词: 结核,肺/治疗, 社会支持, 心理疗法, 深圳市

Abstract: Objective To analyze the treatment,management and social support needs of new smear positive pulmonary tuberculosis(PTB) patients in floating population,in order to provide more targeted service for floating population.Methods Four hundred and fifty five cases of new smear positive PTB patients in floating population were investigated by self-designed questionnaire.Results The social-economic survey shows that,82.6% of the patients the monthly income were below 2000 yuan;in addition to the cost covered by free policy,75.8% of the patients paid the additional medical expenses by themselves.44.2% chose holiday to visit the doctor,and 91.9% felt that 4 h was most appropriate for one time visit.51.9% thought 200 yuan is the affordable upper limit for each visit.For treatment,only 28.8% was willing to go to DOT spots,27.3% would like to take medicine at home supervised by family member or by doctors through the phone call,44.0% wished to take the medicine by themselves without any supervision.The social support survey shows that 89.5% and 92.7% hoped to reduce the cost for auxiliary drugs and examinations respectively,85.9% would not like to disclose the disease to their working unit,and 69.9% thought they will be dismissed if their employers knew their disease,63.3% continued to work after TB diagnosis,80.9% needed psychological counseling.Conclusions The new smear positive tuberculosis patients in floating population were in poor socio-economic conditions.TB institutions and other related departments should give attention to the treatment and management needs of the patients and give necessary psychological support.The fact that more than 40% of the patients wished to take the medicine by themselves posts a new challenge for TB patients management.

Key words: Tuberculosis,pulmonary/therapy, Social support, Psychotherapy, Shenzhen city