陕西贫困边远山区结核病患者低治愈率影响因素研究  

Factors affecting cure rate of tuberculosis patients in remote mountainous area of Shaanxi province

作　　者：鲜小萍 席昭雁[2] 郭刘家 陈广华 艾仙琴 赵燕 

机构地区：[1]陕西省结核病防治研究所,西安710048 [2]陕西省疾病预防控制中心,西安710054

出　　处：《中国防痨杂志》2010年第8期447-451,共5页Chinese Journal of Antituberculosis

摘　　要：目的了解陕西贫困边远山区影响肺结核患者治愈率的相关因素。方法采用现场横断面调查对比研究,对患者、督导员、村医进行问卷调查,以治愈组与非治愈组分析影响治愈率的基本因素。结果低经济收入、低文化程度、有合并症、在非专业机构诊疗、诊疗延迟、漏服药与中断治疗、复查痰不合格、社会歧视、督导不力等方面是影响肺结核治愈率的影响因素。结论加强政府投入,改善经济状况,完善文化教育包括健康促进,加强三级结核病诊疗网络建设与督导,扩大专业机构的培训与诊疗,推行全社会关注与支持,是提高肺结核治愈率、控制结核病蔓延的基本策略与措施。Objective To understand the factors affecting cure rate of tuberculosis patients in remote mountainous area of shaanxi province. Methods This is a cross-sectional comparative study. Questionaire survey was conducted to patients,DOT supervisors and village doctors. The affecting factors were analyzed in cured and non-cured group. Results The factors affecting the cure rate were low-income,low-eduction level,combination with complication,treatment in non-professional organization,treatment delay and interruption,unqualified review sputum,social discrimination,poor supervision etc. Conclusions Strengthening the government input,economy improvement,health education completeness,strengthening TB control network construction and supervision,expansion of professional training and treatment,and attention and support of the whole society were basic strategies and measures of TB control.

关 键 词：结核 肺/治疗 治疗结果 陕西省 

分 类 号：R52[医药卫生—内科学]