肺结核患者转诊未到位影响因素分析  

Analysis of cau ses of failed referral of tuberculosis patients from general medical institutions to tuculosis control bodies

作　　者：罗兴雄[1] 张广恩[1] 陈马秀[1] 林锋[1] 云飞[2] 黄隆[3] 曾运福 

机构地区：[1]海南省疾病预防控制中心,海南海口570203 [2]海口市结核病防治所,海南海口570203 [3]三亚市疾病预防控制中心,海南三亚572000 [4]屯昌县疾病预防控制中心,海南屯昌571600

出　　处：《中国热带医学》2010年第12期1438-1439,共2页China Tropical Medicine

基　　金：全球基金艾滋病结核病疟疾项目

摘　　要：目的对转诊未到位的肺结核患者进行调查,分析未到位的原因。方法采用整群抽样方法抽取海南省海口市、三亚市和屯昌县作为研究现场,对2008年6月～2009年5月间网络直报转诊未到位的肺结核患者进行问卷和追踪调查。结果共调查216例未转诊肺结核患者,未到结防机构诊治的原因:与医院因素有关者共有123例,占56.9%,其中因医生没说清楚的占53.7%、医生没有转诊的占34.1%、截留患者配药治疗的占8.9%、住院治疗的占3.3%;与患者因素有关的为93例,占43.1%,其中怕更多的人知道的占24.7%、工作忙的占23.6%、经济困难的占19.4%)、不相信结防机构的占17.2%、交通不便的占8.6%、找不到结防机构的占6.5%。结论肺结核患者转诊未到位影响因素中:归于患者原因占43.1%,主要是怕受到岐视;医院原因占56.9%,主要是医生没说清楚及没有转诊。因此要进一步加强结核病健康促进工作,提高结核病知晓率,不断加强与医疗机构的合作,增强医务人员责任心,提高肺结核患者到位率。Aim To investigate the status of referral and causes of failures in referring TB patients from medical institutions to the TB control bodies. Methods The online reported TB patients without referral to TB control bodies by medical institutions from June 2008 to May 2009 were surveyed and the causes of failling referral were analyzed. Results There 216 cases were surveyed. The casuses of failled referral of TB cases ro TB control bodies were as the follows：123 cases failed to be referred to the TB control bodies by the hospitals （56.9%）,93 cases （43.1%）were failed to be referred to TB control bodies due to causes of economic problem （19.4%）,unbeliving in the TB bodies （17.2%）,too busy to see a doctor （23.6%）,unaccessible to the TB bodies （6.5%）,keeping their health condition as a secret （24.7%）,tranfic restraints （8.6%）,etc. Conclusions Wide-spread health education and propaganda on the tuberculosis knowledge be carried out to enhance the TB patients refferral rate and reduce incidence of tuberculosis in Hainan Province.

关 键 词：结核 肺 转诊 问卷调查 海南省 

分 类 号：R521[医药卫生—内科学]