老年与青年肺结核患者就诊延迟影响因素的对比分析  

The comparative analysis on patient delay and influence factors in the young between old patients with pulmonary tuberculosis

作　　者：杨志红 程琮[2] 

机构地区：[1]德州市第二人民医院急诊科,山东德州253000 [2]泰山医学院卫生统计学教研室,山东泰安271000

出　　处：《泰山医学院学报》2012年第4期244-246,共3页Journal of Taishan Medical College

摘　　要：目的探讨老年肺结核患者与青年肺结核患者就诊延迟及影响因素,并进行对比分析,为促进结核病的预防和控制提供更有效的依据。方法采取现况调查方法,以2004年8月至2007年9月间在我院结核科住院治疗的老年肺结核及青年肺结核患者作为研究对象,应用自制调查表收集相关资料,应用logistic回归分析就诊延迟及确诊延迟的影响因素。结果青年组就诊延迟率55.3%,就诊延迟时间中位数为16天;老年组就诊延迟率70.2%,就诊延迟时间中位数为27.5天。两组差异有统计学意义(P<0.05)。青年组就诊延迟的主要影响因素是:出现不适后的决定及知道结核病防治医疗机构。老年组就诊延迟的主要影响因素是:出现不适后的决定、知道结核病防治医疗机构、咯血及经济困难。结论老年肺结核患者就诊延迟情况较青年肺结核患者严重。为提高肺结核患者早期发现率,应加强结核病防治知识宣传工作,把知道结核病防治机构作为老年和青年人群的重点宣传内容之一,对老年人群同时还应加强结核病免费政策的宣传。老年人群重点宣传对象为60～64岁群体,而青年人群重点宣传对象是在校初中学生。Objective： To study the patient delay and influence factors in the young and old pulmonary tuberculosis patients for evidence in preventing and controlling tuberculosis. Methods：A cross-sectional descriptive survey was conducted in the young and old inpatients of pulmonary tuberculosis. The data were analyzed with SPSS13.0 and logistic regression. Results ：The median of patient delay was 16 days and the rate of patient delay was 55.3% in the young patients. The median of patient delay was 27.5 days and the rate of patient delay was 70.2% in the old patients. Logistic regression showed that the factors associated with patient delay were the determination of patients after discomfort and the knowedge of tubercu- losis prevention and cure organization in the young patients, hemoptysis and financial difficulties in the old patients. Conclusion：The patient delay in the old pulmonary tuberculosis patients is more severe than that in the young patients. To improve the early detection rate, it is very important to know tuberculosis prevention and cure organization for the old and young people, and put emphasis on free policy for the old people. The emphasis should be on the old from 60 to 64 years, and on the young in middle school students.

关 键 词：结核 肺 诊断 流行病学因素 

分 类 号：R521[医药卫生—内科学]