论文部分内容阅读
目的了解宁夏贫困县确诊结核病患者服药依从性现状及其影响因素,为提高结核病患者服药依从性提供参考依据。方法整群抽取宁夏回族自治区海原、盐池、彭阳、西吉、隆德、同心6个贫困县结核病防治所2012年7月1日—2013年6月30日登记的554例确诊结核病患者进行问卷调查。结果宁夏贫困县554例确诊结核病患者中,规则服药者420(77.2%),间断治疗者54(9.9%),中断治疗者67(12.3%);间断治疗的原因中居于前3位的依次为药物不良反应(42.6%)、工作忙忘记吃药(27.8%)、明显好转或症状减轻(18.5%),中断治疗的原因中居于前3位的依次为药物不良反应(41.8%)、明显好转或症状减轻(22.4%)、自我感觉治疗无效(12.0%);多因素非条件logistic回归分析结果显示,患病前身体健康和有家人督导服药的结核病患者服药依从性较好,贫困家庭的结核病患者服药依从性较差。结论宁夏贫困县确诊结核病患者服药依从性相对较差,是否为贫困家庭、患病前身体健康情况和服药督导期间情况是结核病患者服药依从性的主要影响因素。
Objective To understand the status quo and influential factors of compliance of TB patients diagnosed with tuberculosis in poverty-stricken counties of Ningxia and to provide reference for improving the compliance of TB patients. Methods A total of 554 confirmed tuberculosis patients registered in 6 poverty-stricken counties of Haiyuan, Yanchi, Pengyang, Xiji, Lund and Tongxin, Ningxia Hui Autonomous Region, from July 1, 2012 to June 30, 2013, survey. Results Among the 554 TB patients diagnosed in Ningxia poverty-stricken counties, 420 (77.2%) had regular medication, 54 (9.9%) discontinued treatment and 67 (12.3%) discontinued treatment; among the top 3 reasons for intermittent treatment, Drug adverse reactions (42.6%), work busy forget to take medicine (27.8%), significantly improved or alleviate the symptoms (18.5%), the reasons for the interruption of treatment among the top three followed by adverse drug reactions (41.8%), significantly improved Or symptom relief (22.4%), self-feeling treatment was ineffective (12.0%); Multivariate non-conditional logistic regression analysis showed that pre-illness TB patients with family health supervision and medication guidance were better compliant, Patient medication compliance is poor. Conclusion The compliance of tuberculosis patients diagnosed in poverty-stricken counties in Ningxia is relatively poor, and whether they are poor families. The prevalence of pre-illness health conditions and medication supervision are the main influencing factors of TB compliance.