初治涂阳肺结核患者卫生服务需求调查分析与护理对策  

Survey of health care demands of first-treated pulmonary tuberculosis patients with positive sputum smear and its nursing countermeasures

作　　者：吴清芳[1] 谭卫国[1] 管红云[1] 张玉华[1] 许丽[1] 罗育希[1] 

机构地区：[1]深圳市慢性病防治院,518020

出　　处：《现代护理》2007年第04Z期1011-1012,共2页Modern Nursing

摘　　要：目的为了解肺结核患者的卫生服务需求,为其提供更好的服务。方法采用问卷调查方式对2004年9月-2005年2月全市6个区结核病防治机构登记、管治的初治涂阳肺结核患者进行卫生服务需求调查。结果卫生服务需求调查发出调查表763份,回收有效问卷755份,有效率99.0%。结核病防治知识在诊疗过程中由医护人员告知的占75.9%;超过50%的患者希望医护人员提供饮食生活指导、化疗方案和药物副反应的表现、疾病预防控制的知识;91.5%希望得到周围人群的理解;95.9%回答接受过服药点的健康指导。结论随着医学模式由“生物医学”向“生物-心理-社会”模式的转变,在研究生物学因素的同时,更应关注患者的卫生服务需求,加强相关的护理干预措施。Objective To survey the health service demand of first-treated pulmonary tuberculosis patients, in order to provide better service. Methods The health service demand of the registered and treated tuberculosis patients with smear-positive from September 2004 to February 2005 in 6 districts were investigated using a questionnaires method. Results 763 patients were enrolled, 755 valid questionnaires were got, with an effective rate of 99.0%. The proportion of tuberculosis prevention and cure knowledge got from physicians and nurses was 75.9%. Over 50% of the patients hoped to get the information, which included diet and living, chemotherapy, adverse effects, and prevention and control knowledge. 91.5% of the patients hoped to get understood by others. 95.9% of the patients accepted the health guidance from DOTs. Conclusions With the development of medicine mode from biology to biology-psychology-society, the health service demand of the patients should be paid attention and the nursing intervention should be reinforced along with researching the biological factors.

关 键 词：肺结核 卫生服务需求 护理干预 

分 类 号：R473[医药卫生—护理学]