摘要
目的了解结核病专科医院住院肺结核患者在结核病防治机构的登记状况,以及在出院后的后续治疗结果。方法采用横断面调查研究设计,通过目的抽样的方法,从4家结核病专科医院中选择597例住院诊断为肺结核的患者作为随访调查对象,采集患者出院后在所在地结核病防治机构的登记状况,以及抗结核疗程完成情况等数据。使用登记率和治疗成功率(包含治愈和完成疗程两种治疗结局)作为评价指标进行分析。按照患者出院后的治疗管理方式,将患者分为自我治疗管理组(269例)和接受面视下督导服药治疗管理组(213例),比较两组的治疗成功率。结果专科医院住院肺结核患者出院后,经结核病防治机构排除肺结核诊断的有12例、确诊登记的有213例,出院患者在结核病防治机构的总体登记率为36.4%[213/(597-12)]。调查患者中有482例患者具有治疗转归,其总体的治疗成功率为57.5%(277/482)。接受面视下督导服药治疗管理组的患者,其治疗成功率(93.4%)明显高于自我治疗管理组的患者(29.0%)(χ2=201.9,P<0.01)。结论专科医院住院患者在登记和后续治疗管理方面存在不足,影响了当地结核病防治工作的效果。
Objective To understand the registration status of TB specialist hospitals inpatients in local TB dispensaries,as well as the results of follow-up treatment after discharge.Methods This is a cross-sectional study.Through the purposive sampling,597 TB inpatients from 4 TB specialist hospitals were recruited and followed up.The status of patients＇ notification in local TB dispensaries and their treatment completion were collected.The notification rate and treatment success rate（including cured and treatment completion） were analyzed.According to the management method after discharge,patients were divided into self-management group（269 cases） and Directly Observed treatment（DOT） group（213 cases）.Treatment success rates were compared between the two groups.Results After discharge from TB specialist hospitals,12 were excluded from TB by TB institution,213 cases were confirmed to be TB cases.The overall notification rate of inpatients from 4 TB hospitals was 36.4%（213/（597-12））.The overall treatment success rate of the patients with available treatment outcome was 57.5%（277/482）;the treatment success rate of the patients in DOT group was significantly higher than those in self-management group（χ2=201.9,P0.01）.Conclusion The deficiencies of TB specialist hospitals lie in the local registration and management of follow-up treatment.
出处
《中国防痨杂志》
CAS
2012年第6期346-349,共4页
Chinese Journal of Antituberculosis
关键词
结核
病人出院
登记
出院后医疗
治疗结果
医院
专科
Tuberculosis
Patient discharge
Registries
Aftercare
Treatment outcome
Hospitals
special
