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目的：为了补充经济先进地区结核病防治人员相对不足和协助当地结防单位提高治疗覆盖率，一组由志愿者执行的直接监督下短程化疗（ＤＯＴＳ）在深圳市龙岗区沿海三镇进行了实验性研究，旨在对照专业机构评价这组志愿者在提高暂住人口肺结核病人对治疗依从性的作用。方法：９３年７月１日至１２月３１日期间，３７２例暂住人口肺结核病人，由专业机构组管理７４％，志愿者组管理２５％，对两组的服药率提高进行比较。结果：在提高治疗依从性方面，志愿者组优于乡、镇专业机构（Ｐ＝０．０２４），与区专业机构相似（Ｐ＝０．７３０）；成人低年龄组（１５～３４岁）较高年龄组（３５～５５＋岁）管理干涉后明显提高依从性。结论：志愿者能够获得与专业机构相似的治疗依从性，在结防人员短缺时，可由志愿者进行病人管理；成人低年龄组更需接受督导管理（干涉）；对治疗的低依从性是结控病控制成功的主要障碍
Objectives: In order to supplement the relative shortage of tuberculosis prevention and control personnel in economically advanced areas and to assist local natal units in improving treatment coverage, a group of DOTS patients under direct supervision performed by volunteers conducted an experiment in the three towns along the coast of Longgang District, Shenzhen The aim of the study was to evaluate the role of this group of volunteers in improving the compliance of treatment TB patients with transient population with respect to specialized agencies. Methods: From July 1, 1993 to December 31, 1993, 372 cases of transient pulmonary tuberculosis patients were managed by 74% of the professional agencies and 25% of the volunteers. The rate of drug abuse in both groups was compared. Results: The volunteer group was better than the professional institution of township and town (P = 0.024), which was similar to the professional institution of the district (P = 0.730). In the adult lower age group (15 ~ 34 years old) The higher age group (35 ~ 55 + years old) significantly improved compliance after intervention. CONCLUSIONS: Volunteers have access to treatment compliance similar to that of professional institutions and can be managed by volunteers when there is a shortage of ARF; supervision and management (intervention) are more required for adults with lower age groups; The main obstacle to successful disease control