当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
24期
160-161,162
,共3页
就诊延误%肺结核%贫困地区
就診延誤%肺結覈%貧睏地區
취진연오%폐결핵%빈곤지구
Delay in seeking medical consulation%tuberculosis%poor areas
目的：分析豫西南贫困县初治涂阳肺结核患者就诊延误的影响因素，为减少结核病传播、提高患者及时就诊率提供措施制订依据。方法根据河南西南地区贫困县结核病疫情、经济水平、地理环境等综合情况抽取4个贫困县作为调查点，对501例初治涂阳肺结核患者进行问卷调查。结果患者总就诊延误率为45.03%，不同年龄组患者就诊延误率差异有统计学意义（χ2=33.87,P<0.05）；不同性别患者就诊延迟率经统计学检验差异无统计学意义；就诊延误危险因素的回归分析结果：影响患者就诊延误的因素中，交通状况（OR=1.734），家庭人均年收入（OR＝1.274），年龄（OR=1.211），发病前是否接受过宣传教育（OR=1.025）。结论河南省西南贫困县肺结核患者就诊延误率较高，影响肺结核患者就诊延误的危险因素依次为交通状况、家庭人均收入、年龄及发病前是否接受过宣传教育。要降低患者的就诊延误率，应积极改善山区农民的就医条件，在提高农民收入的同时，广泛开展健康教育宣传工作，提高农村人口的健康知识水平。
目的：分析豫西南貧睏縣初治塗暘肺結覈患者就診延誤的影響因素，為減少結覈病傳播、提高患者及時就診率提供措施製訂依據。方法根據河南西南地區貧睏縣結覈病疫情、經濟水平、地理環境等綜閤情況抽取4箇貧睏縣作為調查點，對501例初治塗暘肺結覈患者進行問捲調查。結果患者總就診延誤率為45.03%，不同年齡組患者就診延誤率差異有統計學意義（χ2=33.87,P<0.05）；不同性彆患者就診延遲率經統計學檢驗差異無統計學意義；就診延誤危險因素的迴歸分析結果：影響患者就診延誤的因素中，交通狀況（OR=1.734），傢庭人均年收入（OR＝1.274），年齡（OR=1.211），髮病前是否接受過宣傳教育（OR=1.025）。結論河南省西南貧睏縣肺結覈患者就診延誤率較高，影響肺結覈患者就診延誤的危險因素依次為交通狀況、傢庭人均收入、年齡及髮病前是否接受過宣傳教育。要降低患者的就診延誤率，應積極改善山區農民的就醫條件，在提高農民收入的同時，廣汎開展健康教育宣傳工作，提高農村人口的健康知識水平。
목적：분석예서남빈곤현초치도양폐결핵환자취진연오적영향인소，위감소결핵병전파、제고환자급시취진솔제공조시제정의거。방법근거하남서남지구빈곤현결핵병역정、경제수평、지리배경등종합정황추취4개빈곤현작위조사점，대501례초치도양폐결핵환자진행문권조사。결과환자총취진연오솔위45.03%，불동년령조환자취진연오솔차이유통계학의의（χ2=33.87,P<0.05）；불동성별환자취진연지솔경통계학검험차이무통계학의의；취진연오위험인소적회귀분석결과：영향환자취진연오적인소중，교통상황（OR=1.734），가정인균년수입（OR＝1.274），년령（OR=1.211），발병전시부접수과선전교육（OR=1.025）。결론하남성서남빈곤현폐결핵환자취진연오솔교고，영향폐결핵환자취진연오적위험인소의차위교통상황、가정인균수입、년령급발병전시부접수과선전교육。요강저환자적취진연오솔，응적겁개선산구농민적취의조건，재제고농민수입적동시，엄범개전건강교육선전공작，제고농촌인구적건강지식수평。
Objective To analyze the factors that infl uence the treatment delay of smear-positive patient in poor rural areas of Henan province,to provide suggestions to increase TB case detection and reduce transmission.Methods A total of 501 smear-positive tuberculosis patients from 4 counties were ministered a face-to-face interview with a self-made questionnaire.Results The statistical test showed that the rate of delay in seeking medical consultation was 45.0%, there was no signifi cant difference in the rate of delay in seeking medical consultation between different genders (χ2 = 0.71,P> 0.05). However, there was signifi cant difference about the rate of delay in seeking medical consultation between different group of ages (χ2= 33.87,P> 0.05) . Regression analysis of the risk factors infl uencing the treatment delay showed that, traffi c conditions(OR = 1. 734), the mean annual income of families(OR=1.274), age(OR= 1.211), whether to accept publicity and education before consulation(OR = 1.025).Conclusion The rate of delay in seeking medical consultation was higher for smear-postive patients in poor rural areas of Henan proveince. The risk factors for delay were traffi c conditions, the mean annual income, the age, and the accepted publicity and education before consultation. Recommend: we should actively improve the medical conditions of farmers and increase farmers’ income, strengthen health education in order to increase the detection rate of patients in poor rural .
