不同健康促进干预措施对肺结核病人发现率的影响  

The impact of different health promotion activities on case finding of pulmonary tuberculosis

作　　者：张会民[1] 张联英[1] 陈海峰[1] 李俊娟[1] 李国刚[1] 曹继平[1] 樊利红[1] 徐华[1] 

机构地区：[1]河北省疾病预防控制中心,石家庄050021

出　　处：《中国防痨杂志》2006年第6期373-375,共3页Chinese Journal of Antituberculosis

摘　　要：目的探讨实施不同方式的健康促进干预措施对肺结核病人发现情况的影响程度。方法2004年1-12月在45县实施如下干预措施:发放宣传单/画、通过电视或无线广播播放结核病有关知识、粉刷墙体标语、颁发和张贴政府布告、在乡级卫生院制作宣传栏、编排地方戏。结果2004年1-12月45县可疑肺结核症状者就诊率、涂阳肺结核病人登记率均较去年同期和其他对照县同期增高,且有显著性差异(P<0.01)。部分就诊可疑者的就诊信息来源和各种宣传活动执行情况与病人发现率的逐步回归分析显示墙体广告、电视、宣传栏和政府布告对病人发现率的提高贡献较大,其中墙体标语具有统计学意义。结论实施结核病健康促进工作,可以提高可疑肺结核症状者就诊率和涂阳肺结核病人发现率,其中墙体广告、电视宣传和宣传栏实施效果较好。Objective To evaluate the impact of different health promotion activities on case finding of pulmonary tuberculosis. Method Different health promotion activities were carried out in 45 counties from Jan 2004 to Dec 2004 , which included flyers/posters, TV or radio program, wall painting, governmental notice, bulletin board and local drama. Results From Jan 2004 to Dec 2004, the rate of TB suspects seeking medical service and the registration rate of smear positive TB were significantly higher than those in the same duration in the last year in 45 counties and those in other area in the same duration （ P 〈 0.05 ）. Analyzing the information source of the patients seeking healthcare service and the implementation of health promotion activities, the logistic regression analysis showed that wall painting, TV, bulletin board and governmental notice were most effective methods that contributed to case detection. The impact from wall painting was statistically significant （ P = 0.01 ） Conclusion The implementation of health promotion activities can increase the rate of TB suspects seeking medical service and case detection rate of smear positive tuberculosis. Wall painting, TV program and bulletin board are most effective approaches

关 键 词：结核 肺/预防和控制 卫生措施 

分 类 号：R521[医药卫生—内科学]