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目的:探究结核患者中断治疗原因。方法:选取我院2015年12月-2016年12月中断治疗(DOTS策略)(丢失病例)结核病患者178例临床资料进行分析,利用电话或入户回访方式进行调查,总结分析DOTS策略肺结核治疗中断原因及肺结核相关知识知晓率。结果:178例患者中,自觉好转自行停药34例,不能耐受药物副作用停药包括(改服中药)31例,外出务工中断治疗71人,其他(包括经济困难、地处偏远、空巢老人)30人;知识知晓性评分总分(59.48±7.02)分。结论:外出务工为结核人群中断治疗最主要因素,其次为自觉好转及不能耐受药物副作用中断治疗,且结合患者相关知识知晓性较低。
Objective: To explore the reasons for the interruption of tuberculosis patients. Methods: The clinical data of 178 patients with tuberculosis who were treated by DOTS (DOTS strategy) from Dec. 2015 to Dec. 2016 in our hospital were analyzed, and telephone or home visit were used to investigate and analyze the DOTS strategy of TB treatment interruption Reason and awareness of tuberculosis-related knowledge. Results: Of the 178 patients, 34 cases were self-consciously discontinued, 31 cases were unable to tolerate drug side effects (including changing traditional Chinese medicine), 71 were out-of-home workers, and others (including those in financial difficulties, remote areas and empty nests 30), knowledge-aware score (59.48 ± 7.02). Conclusion: Out-migrant workers are the most important factors in the discontinuation of TB treatment, followed by conscious improvement and discontinuation of unacceptable side effects of drugs, and low awareness of patient-related knowledge.