摘要
[目的]调查了解农村肺结核患者的社会经济状况。[方法]采用现况调查,对咸宁农村肺结核病患者的县、乡、村、性别、年龄、文化程度及病例在发现、就诊、治疗、管理等过程中相关的社会经济状况进行调查。[结果]农村肺结核患者的首发症状为咳嗽、咳痰、乏力等;首诊医院以乡镇卫生院、县及以上综合医院、村卫生室为主;首次出现症状到初次就诊的时间平均为8.4d;曾接受的检查项目以临床结合X线检查为最多;以非结防机构确诊为主;治疗很不规则;未就诊的原因主要是自己不在乎及经济困难;间断或中断治疗的原因为经济困难与症状改善;完成一个肺结核的疗程约需3500元,因病误工的人达74.56%,平均因误工减少直接收入646元。[结论]防痨宣传教育是确保农村肺结核患者及时就诊、及时确诊和规则治疗的重要措施,要大力改善和提高农村肺结核病人在就诊、确诊、治疗等的归口管理,重视社会经济等因素的影响,把结核病控制工作纳入当地脱贫致富的工程之中,以确保结核病控制策略的有效实施。
[Objective] To know about the social economic state of rural tuberculosis patients in Xianning. [Methods] Through cross-sectional investigation, investigated the condition of rural tuberculosis patients in Xianning, the condition including the county, the township, the village, the sex, the age, civilization degree and their social economic state when the disease was detected, diagnosed, treated, managed and so on. [Results] The first symptoms were cough, whoosh sputum, lassitude etc; the first diagnosed hospitals were mainly county heaJth center, village and town hospitals, co^mtv integrative hospital; the average time from first symptom to first diagnosis was 8.4 days; the most examined item the patients ever did was clinic general X-ray check-up; mostly patients were diagnosed in non-tuberculosis prevention and cure institufion; the therapies were very irregularly; the primary reasons why patients didn＇t go to hospital were they didn＇t care it and their poverty; the reasons why the period of treatment was disconnected or intermited were poorness and symptoms were mended ; a period of treatment of tuberculosis cost about 3500 Yuan, 74.56 percents patients delayed their work, because of this, their immediate earning was decreased 646 Yuan at average. [Conclusion] The propaganda and education of tuberculosis prevention are the important measures to insure rural tuberculosis patients to make diagnosis on time and cure regularly, we should improve and enhance attributive management when rural tuberculosis patients are diagnosed, Cured, etc., attach importance to the influence of social economic state. To insure strategies of tuberculosis prevention bring into effect, we should bring tuberculosis prevention into the local project of getting rid of poor and going into richness.
出处
《现代预防医学》
CAS
北大核心
2008年第19期3712-3714,共3页
Modern Preventive Medicine
基金
2002年湖北省教育厅重点科研计划项目(2002x79)
关键词
农村
肺结核患者
社会经济
状况
Rural
Tuberculosis patients
Social economic status
