肺结核患者生存质量评价在结核病归口管理中的临床应用  

Evaluation of quality of life in patients with Pulmonary Tuberculosis in theConvergence Cose-management of clinical application

作　　者：吕昌东[1] 刘丽红[1] 邓长健[1] 王平 何小兰[1] 曾卫东 

机构地区：[1]广东省深圳市龙岗区人民医院,518172 [2]深圳市龙岗区慢性病防治中心 [3]深圳龙岗区坂田街道预防保健所

出　　处：《中国实用医药》2009年第11期231-233,共3页China Practical Medicine

基　　金：2008年深圳市龙岗区科技计划项目

摘　　要：目的应用肺结核患者生命质量评价,对影响生命质量的不利因素实施干预,促进结核患者的归口管理。方法根据结核病生存质量测定专用量表的测评结果,针对影响肺结核患者生存质量的不利因素,对2008年新发现的386例疑似肺结核患者,运用自制的"流动人口肺结核患者转诊须知"与传统转诊口头讲解的方法相结合,追踪时继续围绕"转诊须知"进行健康教育等干预措施;并将干预后与干预前的转诊到位率相比较。结果2008年转诊的386例疑似肺结核患者,转诊到位286例,转诊到位率74.1%,比2007年同期相比提高20.1%,到位率提高具有统计学意义(P<0.001)。结论应用肺结核患者生命质量评价,指导临床结核患者转诊工作,对实现(DOTS)战略和结核病"高发现率、高治愈率"起着重要的作用。Objective To use evaluation of the quality of life about pulmonary tuberculosis, carry out the intervention to the disadvantageous factors in affecting the quality of life, and promote the convergence case- management. Methods Intervention such as health education was made to 386 new suspicious pulmonary tu- berculosis patients in 2008, according to the result of special instrument of the quality of life, and the disadvantageous factors in affecting the quality of life. ＂What the pulmonary tuberculosis in floating population transferring need to know＂ combining with traditional oral explaining about transferring was applied. When following,health education was made around the ＂need to know, and the rate of successful transferring was compared before intervention and after intervention. Results There were 386 suspicious pulmonary tuberculosis cases transferring in 2008, and 286 were successful transferring, accounting for 74. 1%, 20. 1% more than that at the same time in 2007. There was a significant difference（ P 〈 0. 001 ）. Conclusion It plays an important role in achieving the DOTS strategy and ＂high rate of discovering, high rate of recovering＂ in tuberculosis, by applying the evaluation of the quality of life about pulmonary tuberculosis and directing the transferring in tuberculosis.

关 键 词：生存质量评价 结核病 归口管理 临床应用 

分 类 号：R521[医药卫生—内科学]