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目的探讨专人宣教及管理对提高肺结核患者对治疗方案执行力度的影响,以达到提高治疗成功率,从而提高治愈率的目的。方法按半随机抽样方法将2013年玉林市区登记的活动性肺结核患者分成干预治疗组和常规治疗对照组,对两组患者的治疗成功率进行分析评价,并对治疗效果进行推广评价。结果活动性肺结核患者的成功治疗率与性别、年龄、民族、职业、户籍、患者来源及诊断结果差异均无统计学意义(P>0.05);但干预治疗组的成功治疗率、对治疗方案及对宣教措施的执行力度好,分别为90.11%、93.04%及92.67%,4次及以上督导的成功治疗率为92.13%,与常规治疗组比较差异均有统计学意义(P<0.05)。结论开展专人宣教及管理患者的治疗成功率可以达到92.13%,能显著提高肺结核患者对治疗方案的执行力度,从而有效达到提高治愈率的目的。
Objective To explore the impact of missionary education and management on improving the execution of treatment regimens in patients with pulmonary tuberculosis in order to improve the success rate of treatment and thus improve the cure rate. Methods According to the method of semi-random sampling, active tuberculosis patients registered in Yulin city in 2013 were divided into intervention group and routine treatment control group. The success rate of treatment in both groups was analyzed and evaluated, and the treatment effect was evaluated. Results There was no significant difference in the successful treatment rates of patients with active tuberculosis compared with those of sex, age, nationality, occupation, household registration, patient source and diagnosis (P> 0.05). However, The implementation of mission measures was good, which was 90.11%, 93.04% and 92.67% respectively. The successful treatment rate of 4 times and above supervision was 92.13%, which was significantly different from the conventional treatment group (P <0.05). Conclusion The success rate of carrying out mission-specific education and managing patients can reach 92.13%, which can significantly improve the implementation of treatment plans for tuberculosis patients and effectively achieve the goal of improving the cure rate.