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目的了解肺结核患者对结核病防治相关政策认知与评价现状,分析认知差异产生的影响因素,借此提出针对性干预措施,为开展结核病控制项目提供政策性参考依据。方法采用回顾性问卷调查法,调查烟台市2009年1月1日～12月31日登记并完整治疗的642例肺结核患者结核病防治政策认知情况及影响因素,采用SPSS16.0软件对资料进行分析。结果 76.32%的肺结核患者知晓结核病免费政策,87.85%的患者对该政策满意;文化水平、收入状况、家庭资产总值及有无债务是影响患者对结核病免费政策认识的主要因素(P<0.05)。患者期望获得更多的免费项目和较低价格的辅助药物。结论针对低文化水平、家庭经济困难肺结核患者进行结核病防治政策宣传和干预,对于控制结核病疫情具有重要意义。
Objective To understand the current status of tuberculosis patients’ cognition and evaluation of policies related to tuberculosis prevention and control, and to analyze the influencing factors of cognition differences so as to propose targeted interventions and provide policy reference for carrying out tuberculosis control projects. Methods A retrospective questionnaire was used to investigate the tuberculosis control policy cognition and influencing factors of 642 pulmonary tuberculosis cases registered and completely treated in Yantai from January 1 to December 31, 2009. The data were analyzed by SPSS16.0 software . Results A total of 76.32% of TB patients were aware of the free TB policy, 87.85% of them were satisfied with the policy. Cultural level, income status, total household assets and debt-free status were the major factors influencing patients’ understanding of TB free policy (P <0.05) . Patients expect more free items and lower priced supplements. Conclusions Publicizing and intervening tuberculosis prevention and control policies targeting at people with low educational level and families with economically-viable tuberculosis are of great significance for controlling the epidemic of tuberculosis.