鄂西山区某县医院肺磨玻璃结节患者随访依从性的影响因素  

Influencing factors on follow-up compliance of patients with pulmonary ground glass nodules in a county hospital in the west montane region of Hubei

作　　者：向启均 佟啟程 万里 邓安平 朱铁源 XIANG Qijun;TONG Qicheng;WAN Li;DENG Anping;ZHU Tieyuan(Dept.Ⅲof Thoracic Surgery,People’s Hospital of Wufeng Tujia Autonomous County,Wufeng 443400,Hubei,China;Dept.of Thoracic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)

机构地区：[1]湖北省五峰土家族自治县人民医院外三科,湖北五峰443400 [2]武汉大学人民医院胸外科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2022年第5期842-847,共6页Medical Journal of Wuhan University

摘　　要：目的:探讨影响肺磨玻璃结节患者随访依从性的相关因素,以期为后续建立山区群众肺结节综合管理与干预模式提供科学依据。方法:通过纳入2019年1月—2020年9月在湖北省五峰土家族自治县人民医院初次诊断为肺磨玻璃结节患者,调查门诊资料及电话随访了解入组患者的肺结节复查情况,并分析患者随访依从性的影响因素。结果:共有192例肺磨玻璃结节患者纳入本研究,在确诊肺磨玻璃结节后的12~33个月中,仅31.8%(61/192)的患者进行了门诊随诊。通过单因素及多因素回归分析,得出是否专科门诊、经济情况及住址离医院距离是影响患者进行门诊肺磨玻璃结节随诊的重要因素。结论:鄂西山区肺磨玻璃结节患者的门诊随访比例较低,开设肺结节门诊及重点关注偏远贫困患者可能可以改善山区肺磨玻璃结节患者的随访依从情况。Objective: To explore the related factors affecting the follow-up compliance of patients with pulmonary ground glass nodules(GGNs) in a county hospital in the west montane region of Hubei, China, in order to provide a scientific basis for the establishment of comprehensive management and intervention mode of GGNs in montane regions. Methods: Patients who were initially diagnozed with GGNs in People’s Hospital of Wufeng Tujia Antonomous County from January 2019 to September2020 were included. Outpatient data and telephone follow-up were investigated to acquire information of enrolled patients. And the influencing factors of follow-up compliance were analyzed. Results: A total of 192 GGNs patients were enrolled in this study. During the period of 12 to 33 months after diagnosis of GGNs, only 31. 8%(61/192) patients underwent outpatient follow-up. Through univariate and multivariate regression analysis, it was concluded that specialist clinic, economic status and distance between residential address and hospital were independent factors affecting the follow-up compliance. Conclusion: The proportion of outpatient follow-up of GGNs patients in the montane region of West Hubei is relatively low. Setting up an outpatient clinic for pulmonary nodules and special focus on remote and indigent patients may improve the follow-up compliance of GGNs patients in montane region.

关 键 词：肺磨玻璃结节 随访 专科门诊 依从性 

分 类 号：R655.3[医药卫生—外科学]