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目的探讨肺结核病患者中断治疗的原因,并对督导干预效果进行评价。方法对中断治疗患者通过电话咨询或村医上门等调查方式了解并分析中断治疗的原因,同时督导患者恢复治疗,并评价干预效果。结果中断治疗原因以主观因素为主,占65.9%;同时也与患者的职业、文化程度和户籍状态有关(P<0.01),药物不良反应也是中断治疗的重要原因。督导干预效果良好,恢复完成治疗率达93.5%。结论加强肺结核病患者健康教育,提高患者服药依从性,重视督导管理,及时干预指导是减少中断治疗的重要措施。
Objective To investigate the causes of discontinuation of tuberculosis patients and to evaluate the effect of supervision and intervention. Methods Interrupt treatment patients through telephone consultation or village doctor visits and other survey methods to understand and analyze the reasons for the interruption of treatment, while monitoring patients to resume treatment, and evaluate the effect of intervention. Results The main reason for interruption was subjective factors, accounting for 65.9%. It was also related to the occupational status, educational level and household registration status (P <0.01). Adverse drug reactions were also the main reasons for discontinuation of treatment. Supervision and intervention effect is good, the recovery rate of 93.5% completed treatment. Conclusion It is an important measure to reduce the interruption of treatment to strengthen the health education of patients with pulmonary tuberculosis, improve the patient compliance with medication, pay attention to supervision and management and timely intervention guidance.