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目的开展多种形式的结核病防治健康教育活动,提高居民对结核病防治知识的知晓率,以提高肺结核病患者和可疑肺结核病患者的转诊到位率,提高活动性肺结核病患者发现率。方法通过广泛的面上宣传、一对一宣传、主动联系宣传及对综合医院医务人员培训宣传等形式,提高居民对肺结核病基本知识的知晓率,做到家喻户晓。结果2014年阿克陶县新发现登记活动性肺结核病患者中痰涂片阳性患者56例、占活动性肺结核患者21.79%,2015年涂阳肺结核病患者109例、占活动性肺结核病患者21.25%,两年间差异无统计学意义(χ~2=0.002 3,P>0.001);涂阳登记率由2014年的256.84/10万提高到2015年的482.66/10万,两年间差异有统计学意义(χ~2=69.28,P<0.001);2015年920例肺结核病患者和可疑肺结核病患者中,有850例主动到县结核病定点医院接受诊疗,转诊到位率由2014年的67.53%提高到2015年的92.39%,差异有统计学意义(χ~2=163.45,P<0.001);本县辖区医疗机构患者648例,接受到健康教育后主动到县结核病定点医院就诊的573例、到位率97.62%,本县以外医疗机构患者439例,到县结核病定点医院就诊的277例、到位率83.18%,治疗到位率差异有统计学意义(χ~2=62.95,P<0.001)。结论在新疆边远地区开展多种形式的结核病防治知识健康教育活动,能有效提高肺结核病患者和可疑肺结核病患者的转诊到位率和活动性肺结核病患者的发现率,提高涂阳肺结核病患者的登记率。
Objective To carry out various forms of tuberculosis prevention and control health education activities to raise residents’ awareness of tuberculosis prevention and control knowledge so as to increase the referral rate of tuberculosis patients and suspicious tuberculosis patients and to increase the detection rate of active tuberculosis patients. Methods Through a wide range of face-to-face advocacy, one-to-one publicity, active contact and publicity and training of general practitioners in public hospitals and other forms of publicity to raise awareness of residents of tuberculosis basic knowledge, so that every household. Results In 2014, 56 newly diagnosed sputum smear positive patients with active pulmonary tuberculosis were found in Aktau County, accounting for 21.79% of active tuberculosis patients. In 2015, 109 cases of smear positive pulmonary tuberculosis patients accounted for 21.25% of active tuberculosis patients, . There was no significant difference between the two years (χ ~ 2 = 0.002 3, P> 0.001). The registration rate of smear positive rose from 256.84 / 100000 in 2014 to 482.66 / 100000 in 2015, with significant difference between the two years (χ ~ 2 = 69.28, P <0.001). Of the 920 cases of TB patients and suspicious TB cases in 2015, 850 cases took the initiative to go to county TB hospitals for treatment. The referral rate increased from 67.53% in 2014 The difference was statistically significant (χ ~ 2 = 163.45, P <0.001). There were 648 patients in the medical institutions in this county area, and 573 cases were sent to designated county TB hospitals after receiving health education. 97.62%. There were 439 cases of medical institutions outside the county, 277 cases were sent to designated TB hospitals in the county with the rate of 83.18%. There was significant difference in the treatment rate (χ ~ 2 = 62.95, P <0.001). Conclusions Various forms of knowledgeable TB education in outlying areas of Xinjiang can effectively improve the referral rate of patients with TB and suspicious TB patients and the detection rate of patients with active TB and improve the positive rates of TB patients with smear-positive pulmonary tuberculosis Registration rate.