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目的:探讨农民工结核病患者治疗依从性的相关影响因素与干预对策。方法:采用问卷调查和定期电话随访,对276例农民工结核病患者与228例杭州户籍结核病患者的治疗依从性及其相关因素进行调查分析。结果:农民工结核病患者治疗依从性好者占80.44%;与杭州户籍的职员组及工人组结核病患者比较,农民工结核病患者治疗依从性最差(χ2=13.70,P<0.01);农民工结核病患者的文化程度、结核病知识知晓程度、经济收入越低,治疗依从性越差(χ2=9.45、23.653、6.867,P<0.01、P<0.05);有空洞患者服药依从性高于无空洞患者(2χ=20.52,P<0.01)。结论:要切实保障DOTS管理方案的贯彻实施,必须从影响农民工人群结核病患者治疗依从性相关因素入手,开展针对性的健康教育和干预对策,从而达到提高全社会结核病控制率和治愈率的最终目的。
Objective: To explore the influencing factors and intervention strategies of treatment adherence of migrant workers with tuberculosis. Methods: By means of questionnaire survey and regular phone follow-up, the treatment compliance and related factors of 276 migrant workers with tuberculosis and 228 Hangzhou registered residents with tuberculosis were investigated. Results: 80.44% of the migrant workers with tuberculosis were obedient to treatment. Compared with Hangzhou household workers and workers’ group of tuberculosis patients, migrant workers with tuberculosis had the lowest adherence (χ2 = 13.70, P <0.01); migrant workers with tuberculosis Patient’s educational level, awareness of TB knowledge, lower economic income and worse treatment adherence (χ2 = 9.45,23.653,6.867, P <0.01, P <0.05) 2χ = 20.52, P <0.01). Conclusion: In order to effectively guarantee the implementation of DOTS management plan, we must start from the relevant factors that affect the adherence of tuberculosis patients in migrant workers and carry out targeted health education and intervention measures so as to achieve the ultimate goal of improving TB control rate and cure rate in the whole society purpose.