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目的了解深圳市宝安区结核病患者药物治疗依从性状况,并分析其影响因素,为达到理想治疗效果,提高结核病患者治疗依从性提供参考。方法利用自行设计的结核病患者药物治疗依从性情况调查问卷,整群抽取结核病患者开展调查,采用描述性分析、χ2检验及Logistic回归分析等方法进行分析。结果 919名被调查患者药物治疗知识总知晓率为72.0%,正确信念总持有率为56.6%;不同文化程度者,除“是否可因副作用自行停药”和“是否对服药时间有要求”外,其余9个治疗知识题知晓率差异均有统计学意义;不同婚姻状况者4道信念题(是否担心药物治疗、可否自行减量和停药、坚持6个月治疗是否困难、能否按时服药)的持有率差异均有统计学意义;药物治疗依从性状况良好率为68.2%,其受到文化程度、1道知识题(漏服几次药是否不要紧)知晓率及4道信念题(是否担心药物治疗、可否自行减量和停药、是否按量及按时服药)持有率的影响。结论患者药物治疗知识题和信念题正确率均较低,其分别受到患者文化程度和婚姻状况的影响;应对文化程度高、相关的知识题和信念题正确率低的患者加强健康教育,从而提高全程督导率及依从性水平。
Objective To understand the drug treatment compliance status of patients with tuberculosis in Bao’an District of Shenzhen City and analyze its influencing factors so as to provide reference for achieving the desired therapeutic effect and improving the treatment compliance of patients with tuberculosis. Methods The self-designed Questionnaire on the Compliance of Drug-Eligible Patients with Tuberculosis was used to investigate the patients with tuberculosis by cluster analysis. The patients were analyzed by descriptive analysis, χ2 test and Logistic regression analysis. Results The total awareness rate of drug treatment in 919 investigated patients was 72.0%, and the total correct beliefs was 56.6%. Whether people with different educational level except " There is a difference in the awareness rate of the remaining nine treatment knowledge questions. There are four beliefs questions in different marital status (whether or not they are worried about drug treatment, whether they can reduce or stop their own medicine, and whether it is difficult to adhere to the 6-month treatment , Can take medication on time) were significantly different; the good rate of drug treatment compliance was 68.2%, which was affected by the level of education, a knowledge of the problem (missed several times if it does not matter) awareness and 4 Tao faith problem (whether or not to worry about drug treatment, whether to reduce and stop their own medicine, whether the amount and on time medication) the impact of ownership. Conclusions The accuracy rate of medication knowledge and belief question in patients is low, which is influenced by patient’s education level and marital status respectively. Health education should be strengthened in patients with high education level, related knowledge questions and belief questions, thus improving their health education Surveillance throughout the rate and compliance level.