上海市普陀区非本市户籍人口结核病治疗依从性多因素研究  

Multifactor Study on Treatment Compliance of Non-resident TB Patients in Putuo District,Shanghai

作　　者：邓海巨[1] 郑亦慧 张宇艳[1] 徐飚[2] 

机构地区：[1]上海市普陀区疾病预防控制中心,200333 [2]复旦大学公共卫生学院

出　　处：《中国预防医学杂志》2007年第5期568-572,共5页Chinese Preventive Medicine

摘　　要：目的了解上海市普陀区非本市户籍人口结核病患者治疗依从性,探讨适合非本市户籍人口特点的结核病治疗管理措施,提高其治疗效果。方法通过队列研究的方式,收集146名非本市户籍结核病病人2个月强化期和6个月全程治疗遵循医嘱完成治疗的情况,分析影响治疗依从性的可能因素。以强化期和全程治疗依从情况作为结局变量。结果调查对象57.5%完成强化期治疗,年收入低于5000元的调查对象强化期依从性低于年收入超过10000元的调查对象(OR=0.006,P<0.01);年收入在5000～1000元的调查对象强化期依从性也低于年收入超过10000元的调查对象(OR=0.183,P<0.01);38.3%的调查对象完成全程治疗,年收入低于5000元的调查对象全程依从性低于年收入超过10000元的调查对象(OR=0.041,P<0.01)。结论要以强化期治疗作为非本市户籍人口结核病治疗依从性干预的重点时段,采取多种干预措施提高非本市户籍人口结核病人治疗的依从性。Objective To study the compliance to TB treatment with regard to treatment completion, to explore the influences of demographic and socio-economic factors on the treatment compliance of TB patients. Methods A cohort study among 146 non-resident TB patients was implemented. Treatment compliance was defined based on the completion of intensified treatment and full treatment respectively. Results Fifty-eight percent of non-resident TB patients completed the intensified treatment. The results from Logistic regression showed that patients with annual income lower than 5 000 Yuan （ OR = 0.006, P 〈 0.01 ） and 5 000 ～ 10 000 Yuan （ OR = 0.183, P 〈 0.01 ） had significantly lower compliance compared with patients with more than 10 000 Yuan income. About 38% of nonresident patients completed the full treatment course. Poor income was a risk factor to the completion of full treatment course. Conclusinns The intensified period of TB treatment course should be considered as the core of the TB management. Poor non-resident TB patients should be subsidized by the TB control program of Slianghai, which could maximize the effects of TB control in Shanghai.

关 键 词：结核病 治疗 依从性 

分 类 号：R52[医药卫生—内科学]