医院内直接观察下治疗结核病时治疗卡对坚持规律治疗的作用

• 作 者: P.Sonnenberg M.H.Ross S.C.P.M.Shearer J.Murray 何广学
• 机 构: Department of Community Health,University of the Witwatersrand,Department of Community Health,Univer
• 出 处: 结核与肺部疾病杂志(中文版)
• 发表日期: 1998年01期
• 关键词: 规律治疗 结核病控制 直接观察下治疗 规律用药 尿标本 卫生工作者 卫生工作人员 肺结核病 组合包装 周和

我们评价在结核病病房由病人和卫生工作者共同签字的治疗卡对坚持规律治疗的影响。通过检测每个病人的尿标本来估价坚持规律治疗情况,在干预之前和干预后2周、6周和16个月检测尿标本中异烟肼和利福平。干预前的坚持规律治疗率为62％,在短期、中期和长期干预后的坚持规律治疗率分别是88％、91％和93％(P=0.03,P=0.02,P<0.01)。医院内能够成功的实施直接观察下治疗的说法并不总是正确的。简单廉价的方法能够改善坚持规律治疗并对结核病控制产生影响。

We evaluate the impact of treatment cards co-authored by patients and health workers in tuberculosis wards on adherence to regular treatment. Urine specimens from each patient were assessed for adherence to regular treatment and isoniazid and rifampicin in urine samples were tested before intervention and at 2 weeks, 6 weeks and 16 months after intervention. The pre-intervention adherence rate was 62%, followed by 88%, 91%, and 93%, respectively (P = 0.03, P = 0.02, P <0.01) after short-, medium-, and long-term interventions. It is not always true that the hospital is able to successfully administer direct observation. A simple and inexpensive way to improve adherence to regular treatment and impact on tuberculosis control.