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。
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 anti-tuberculosis treatment, would adopt left medicines as soon as the drugs side-effect 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 out health workers supervised behavior; strengthen superior doctors intendance with village health workers and patients; to implement the directly observed treatment short course strategy.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2006年第12期1468-1469,共2页
Chinese Journal of Public Health
基金
世行贷款/英国赠款中国结核病控制项目[2004
160]
关键词
结核肺病
依从性
定量研究
定性研究
Tuberculosis/pulmonary
compliance
quantitative study
qualitative study
