山东省肺结核病督导管理的知识、态度和行为调查研究  

STUDY ON THE KNOWLEDGE, ATTITUDE, AND PRACTICE AMONG TUBERCULOSIS PATIENTS AND DOT PROVIDERS ABOUT PULMONARY TUBERCULOSIS AND DOT

作　　者：张修磊[1] 朱丽[1] 

机构地区：[1]山东省胸科医院,济南250013

出　　处：《现代预防医学》2009年第19期3695-3696,共2页Modern Preventive Medicine

摘　　要：[目的]为探索新的结核病管理方式提供科学依据。[方法]对山东省4个县的结核病患者、村医、执行督导任务的家庭成员进行访谈。[结果]肺结核病人及其督导服药者对结核病的知识、态度和行为会影响病人能否完成规律治疗。肺结核病人的督导服药可由村医或病人的家庭成员完成。目前,多数肺结核病人对肺结核的病因和传播途径了解不足或有误解,村医对结核病有较为清晰的认识,但多数村医并不能在整个疗程内很好地完成督导服药任务;同时病人对村医督导接受意愿低,部分病人在治疗过程中从没有接受过村医督导服药。病人接受家庭成员督导服药意愿较高,但多数家庭督导员对结核病的病因和传播途径认知模糊,少部分家庭督导员不能督导病人服药。[结论]结防专业人员应加强对肺结核病人的治疗前宣教;在村医不能完成督导任务的地区,家庭成员督导可作为村医督导病人方式的补充;结防专业人员应对承担督导任务的病人家庭成员进行充分的培训,使其认识督导的重要性。[ Objective] To provide statistic evidence for explosion of new tuberculosis management. [ Methods ] Interviewed patients, village doctors and family members in 4 counties in Shandong. [ Results] Knowledge. attitude and practice （KAP） about tuberculosis （TB） and direetivity observed treatment （DOT） among pulmonary tuberculosis patients and DOT providers including village doctors or family member had influence on patients＇ treatment outcome, At present, most patients had incomplete or incorrect understanding about TB. Village doctors had sound knowledge about TB. However, most village doctors could not carry out all required DOT activities. Moreover, most patients were reluctant to accept DOT by village doctor. On the contrary, most patients were happy when DOT providers were family members. But the problem was thal family members＇ knowledge about TB was no more than that of TB patients. [Conclusion] So it is recommended that, in areas that village doctors fail their job, family members are ideal alternatives. In this case, sufficient pre-treatment training about DOT to TB patients＇ family member is necessary.

关 键 词：肺 结核 定性 

分 类 号：R521[医药卫生—内科学]