摘要
目的分析洛阳市2021—2022年肺结核患者就诊延迟现状及诊断延迟影响因素,为早期防治肺结核提供依据。方法从结核病信息管理系统中提取洛阳市2021—2022年确诊的2254例有效肺结核患者的基本资料,描述就诊延迟患者现状,对洛阳市2021—2022年肺结核研究患者的年龄、性别、民族、居住地、首诊单位类型、户籍类型、家庭主要收入来源者、患有其他慢性病、诊断方法、患者类型等进行单因素分析,将单因素分析有意义的指标进行多因素logistic回归分析探讨诊断延迟的影响因素。结果2021—2022年洛阳市肺结核总病例数为2254例,就诊延迟患者559例,就诊延迟率为24.80%,就诊时间中位数为11(3,34)d,诊断延迟患者638例,就诊延迟率为28.31%,诊断时间中位数为13(3,39)d;单因素分析结果显示,民族、家庭主要收入来源者、患有其他慢性病、患者类型比较,差异无统计学意义(P>0.05);年龄、性别、居住地、首诊单位类型、户籍类型、诊断方法是洛阳市肺结核患者诊断延迟的相关因素(P<0.05);多因素回归分析显示,年龄≥65岁、居住地为农村、户籍类型为流动人口是2021—2022年洛阳市肺结核患者诊断延迟的危险因素,诊断方法为分子生物学是洛阳市2021—2022年肺结核患者诊断延迟的保护因素(P<0.05)。结论洛阳市2021—2022年肺结核患者就诊延迟以及诊断延迟现象较普遍,年龄≥65岁、居住地为农村、户籍类型为流动人口是导致诊断延迟的危险因素,诊断方法为分子生物学是诊断延迟的保护因素,应根据影响因素采取措施,进一步降低诊断延迟率。
Objective To explore the status quo and influencing factors of delayed diagnosis of tuberculosis patients in Luoyang City from 2021 to 2022,and to provide evidence for early prevention and treatment of tuberculosis.Methods The basic data of 2254 effective tuberculosis patients diagnosed in Luoyang from 2021 to 2022 were extracted from the tuberculosis information management system to describe the status quo of patients with delayed treatment.The age,gender,nationality,place of residence,type of first diagnosis unit,household registration type,main income source of the family,suffering from other chronic diseases,diagnosis method,and type of patients of tuberculosis research patients in Luoyang City from 2021 to 2022 were analyzed.Multivariate logistic regression analysis was performed to explore the influencing factors of diagnosis delay.Results From 2021 to 2022,the total number of tuberculosis cases in Luoyang City was 2254,559 patients were delayed in seeing a doctor,with a delay rate of 24.80%and a median time of 11(3,34)days;638 patients were diagnosed with a delay rate of 28.31%and a median time of diagnosis of 13(3,39)days.The results of univariate analysis showed that there was no statistical significance in ethnic group,main family income source,suffering from other chronic diseases,and patient type(P>0.05).Age,gender,place of residence,type of first diagnosis unit,type of household registration and diagnosis method were the influential factors for delayed diagnosis of pulmonary tuberculosis patients in Luoyang(P<0.05).Multivariate logistic regression analysis showed that age≥65 years old,residence in rural areas,household registration type of floating population were risk factors for delayed diagnosis of pulmonary tuberculosis cases in Luoyang from 2021 to 2022,and molecular biology was a protective factor for delayed diagnosis of pulmonary tuberculosis cas es in Luoyang from 2021 to 2022(P<0.05).Conclusion In Luoyang City from 2021 to 2022,delayed treatment and delayed diagnosis of tuberculosis patients are common.Age≥65 years old,rural residence,and floating population are the risk factors leading to delayed diagnosis.Molecular biology is the protective factor for delayed diagnosis,and measures should be taken according to the influencing factors to further reduce the delayed diagnosis rate.
作者
张东东
李泱乐
陈淑娴
ZHANG Dongdong;LI Yangle;CHEN Shuxian(Department of Public Health,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China;Tuberculosis Prevention and Control Institute,Luoyang Center for Disease Control and Prevention,Luoyang 471003,China)
出处
《河南医学研究》
2025年第23期4260-4263,共4页
Henan Medical Research
关键词
肺结核
洛阳市
就诊延迟
诊断延迟
影响因素
tuberculosis
Luoyang
delay in seeking medical attention
delay in diagnosis
influencing factor
