独立式宣教与管理模式在结核病防治门诊的内外对照分析  

The internal and external comparison analysis on independent module of health education and management among TB clinic patients

作　　者：刘飞鹰[1] 崔哲哲[1] 庞武贵 区进[1] 陈晓 

机构地区：[1]广西壮族自治区疾病预防控制中心结核病防制所,广西南宁530028 [2]玉林市结核病防治所

出　　处：《社区医学杂志》2015年第21期22-24,共3页Journal Of Community Medicine

基　　金：广西壮族自治区卫生厅自筹经费课题(Z2011075);广西壮族自治区疾病预防控制中心医药卫生课题(201107)

摘　　要：目的探讨独立式宣教与管理模式在活动性肺结核患者中的应用,为肺结核患者管理提供理论依据。方法将2013年在玉林市结核病防治所诊断并登记治疗的545例活动性肺结核患者纳入研究,按照1:1的比例,交替归入干预组和内对照组,将2013年在北流市疾病预防控制中心结核门诊诊断并登记治疗的608例活动性患者归入外对照组。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果 2013年玉林市共登记并治疗活动性肺结核患者545例,成功治疗率为85.14%(464/545),登记治疗的农村肺结核患者465例,成功治疗率为84.09%(391/465);2013年北流市登记并治疗活动性肺结核患者608例,成功治疗率为71.22%(433/608),登记治疗的农村肺结核患者572例,成功治疗率为70.63%(404/572)。干预组成功治疗率为90.11%(246/273);内对照组成功治疗率为80.15%(218/272);外对照组成功治疗率为71.22%(433/608)。与内、外对照组比较,干预组的成功治疗率显著升高,差异均有统计学意义(χ2=10.688、38.055,均P<0.05)。干预组农村患者成功治疗率为89.22%(207/232);内对照组农村患者成功治疗率为78.97%(184/233);外对照组农村患者成功治疗率70.63%(404/572)。与内、外对照组比较,农村户籍干预组的成功治疗率显著升高,差异均有统计学意义(χ2=9.135、31.284,均P<0.05)。结论采取有针对性的,积极有效的结核病知识宣传和健康教育,可减少肺结核患者的延误诊断或治疗,提高患者的治疗依从性。Objective To explore the application of independent module of health education and management among TB clinic patients, to provide the theoretical basis of tuberculosis patients management.Methods Active tuberculosis patients（n=545） were diagonosed by Yulin tuberculosis dispensary in 2013, according 1：1, all cases were divided into intervention group and internal control group. Active tuberculosis patients（n=608） were diagonosed by Beiliu center for disease prevention and control tuberculosis clinic, then all cases were brought into external group.Count data was used by chi square test, P0.05 was considered statistically significant. Result 545 active tuberculosis patients were registered and treated in Yulin in 2013, the rate of successful treatment was 85.14%（464/545）, 465 tuberculosis patients in country were registered, the rate of successful treatment was 84.09%（391/465）. 608 active tuberculosis patients were registered and treated in Beiliu, the rate of successful treatment was 71.22%（433/608）,572 tuberculosis patients in country were registered, the rate of successful treatment was 70.63%（404/572）. The rates of successful treatment of intervention group, internal and external control group were 90.11%（246/273）, 80.15%（218/272） and 71.22%（433/608）. The rate was significantly higher in the intervention group than internal and external control group（ χ^2=10.688,38.055,all P〈0.05）. The rates of successful treatment of tuberculosis patients in county in intervention group, internal and external control group were 89.22%（207/232）, 78.97%（184/233）,70.63%（404/572）.The rate of successful treatment of tuberculosis was significantly higher in the intervention group than internal and external control group（ χ^2=9.135,31.284,all P〈0.05）.Conclusion Developing specific and efficient education can reduce the rate of delayed treatment, and can promote the treatment compliance of patient.

关 键 词：宣教 管理 肺结核 治疗依从性 

分 类 号：R195.4[医药卫生—卫生统计学]