贫困边远地区结核病患者诊治延迟及影响因素调查  

Delayed Diagnoses and Treatment of Tuberculosis and Its Influencing Factors in Remote Poor Areas

作　　者：楚亚林[1] 刘国琴[1] 曲秀坤 张青峰 郁艳艳[1] 

机构地区：[1]遵义医学院管理学院,贵州省遵义市563000 [2]贵州省卫生厅

出　　处：《中国全科医学》2013年第23期2728-2731,共4页Chinese General Practice

基　　金：遵义医学院校级基金项目F-480;遵义医学院扶持学科建设项目资助

摘　　要：目的调查贵州省结核病患者就诊、确诊及治疗情况,分析诊治延迟情况及其相关影响因素。方法采用单纯随机抽样方法对贵州省249例肺结核病患者进行访谈式问卷调查,利用统计软件进行相关统计学分析。结果在243份有效问卷中,就诊延迟99例(40.8%),男57例、女42例;确诊延迟34例(14.0%),男21例、女13例;治疗延迟29例(11.9%),男19例、女10例。Logistic回归分析显示,本地居住时间、是否知晓肺结核症状、是否知晓患病到哪儿看病对就诊延迟的影响有统计学意义(P<0.05);本地居住时间、家庭全年纯收入、是否知晓患病到哪儿看病、是否知晓肺结核能治好对确诊延迟的影响有统计学意义(P<0.05);本地居住时间、家庭全年纯收入、是否知晓肺结核症状、是否知晓肺结核能治好、是否知晓肺结核正规疗程对治疗延迟的影响有统计学意义(P<0.05)。结论贫困边远地区结核病患者延迟率较高,诊治延迟的影响因素较多,应加强对贫困边远地区的结核病防控工作,普及结核病防治知识,规范流动人口归口管理,以促进患者的及时诊治,提高治愈率。Objective To explore diagnoses/treatments of tuberculosis （TB） in Guizhou Province, to analyze the sta- tus of delayed diagnoses/treatments and its related influencing factors. Methods A interview questionnaire survey was carried out by simple random sampling method in 249 TB patients in Guizhou. A statistical software was used to do related statistical anal- ysis. Results In 243 valid questionnaires, 99 TB patients had delayed visits to doctors （40. 8%, 57 males, 42 females） ; 34 had delayed diagnoses （14.0%, 21 males, 13 females） ; 29 had delayed treatments （11.9%, 19 males, 10 females）. By Logistic regression analysis, there was significance in effects of local residence, awareness about TB symptoms and doctors to be seen on delayed visits to doctors （ P 〈 O. 05 ） , and in effects of local residence, family income, awareness about doctors to be seen and TB being able to be cured on delayed diagnoses （ P 〈 0. 05 ） , and in effects of local residence, family income, aware- ness about TB symptoms, TB being able to be cured and TB regular treatment courses on delayed treatments （ P 〈 0. 05 ）. Con- clusion High rate of diagnoses/treatment delay were found among TB patients in poor and remote areas, affected by several in- fluencing factors. TB control should be strengthened, knowledge about TB prevention and treatment be popularized, floating population be managed standardly, to promote patients to have timely diagnoses and treatments to improve its cure rate.

关 键 词：贫困区 贵州 结核 诊断 治疗 

分 类 号：R52[医药卫生—内科学]