浙江预防医学
浙江預防醫學
절강예방의학
ZHEJIANG JOURNAL OF PREVENTIVE MEDICINE
2015年
9期
889-892,896
,共5页
肺结核%就诊延迟%确诊延迟%影响因素
肺結覈%就診延遲%確診延遲%影響因素
폐결핵%취진연지%학진연지%영향인소
Pulmonary tuberculosis%Treatment delay%Diagnosis delay%Influencing factors
目的：探讨影响肺结核患者就诊与确诊延迟的相关因素，为及早发现与诊治肺结核制定针对性措施提供依据。方法对杭州市萧山区疾病预防控制中心门诊部新登记、确诊并治疗的128例肺结核患者的人口学资料、就诊经历和结核病相关知识等进行问卷调查，分析其就诊与确诊延迟情况和相关因素。结果128例肺结核患者就诊延迟率为25.00％，女性、无咯血症状、赡养老人、发病前结核病相关知识知晓率低和受教育程度低的肺结核患者易发生就诊延迟（P ＜0.05）；多因素 Logistic 回归分析显示，女性是发生就诊延迟的危险因素（OR ＝6.39，95％CI：1.66～24.61）。确诊延迟率为50.78％，多因素 Logistic 回归分析显示，初诊选择村卫生室及私人诊所（OR ＝2.10，95％CI：1.00～4.39）、初诊未摄胸片（OR ＝3.91，95％CI：1.16～13.19）以及赡养老人（OR ＝57.43，95％CI：4.43～744.30）是发生确诊延迟的危险因素。结论女性肺结核患者易发生就诊延迟，初诊选择卫生室及私人诊所、初诊未摄胸片和赡养老人肺结核患者易发生确诊延迟。
目的：探討影響肺結覈患者就診與確診延遲的相關因素，為及早髮現與診治肺結覈製定針對性措施提供依據。方法對杭州市蕭山區疾病預防控製中心門診部新登記、確診併治療的128例肺結覈患者的人口學資料、就診經歷和結覈病相關知識等進行問捲調查，分析其就診與確診延遲情況和相關因素。結果128例肺結覈患者就診延遲率為25.00％，女性、無咯血癥狀、贍養老人、髮病前結覈病相關知識知曉率低和受教育程度低的肺結覈患者易髮生就診延遲（P ＜0.05）；多因素 Logistic 迴歸分析顯示，女性是髮生就診延遲的危險因素（OR ＝6.39，95％CI：1.66～24.61）。確診延遲率為50.78％，多因素 Logistic 迴歸分析顯示，初診選擇村衛生室及私人診所（OR ＝2.10，95％CI：1.00～4.39）、初診未攝胸片（OR ＝3.91，95％CI：1.16～13.19）以及贍養老人（OR ＝57.43，95％CI：4.43～744.30）是髮生確診延遲的危險因素。結論女性肺結覈患者易髮生就診延遲，初診選擇衛生室及私人診所、初診未攝胸片和贍養老人肺結覈患者易髮生確診延遲。
목적：탐토영향폐결핵환자취진여학진연지적상관인소，위급조발현여진치폐결핵제정침대성조시제공의거。방법대항주시소산구질병예방공제중심문진부신등기、학진병치료적128례폐결핵환자적인구학자료、취진경력화결핵병상관지식등진행문권조사，분석기취진여학진연지정황화상관인소。결과128례폐결핵환자취진연지솔위25.00％，녀성、무각혈증상、섬양노인、발병전결핵병상관지식지효솔저화수교육정도저적폐결핵환자역발생취진연지（P ＜0.05）；다인소 Logistic 회귀분석현시，녀성시발생취진연지적위험인소（OR ＝6.39，95％CI：1.66～24.61）。학진연지솔위50.78％，다인소 Logistic 회귀분석현시，초진선택촌위생실급사인진소（OR ＝2.10，95％CI：1.00～4.39）、초진미섭흉편（OR ＝3.91，95％CI：1.16～13.19）이급섬양노인（OR ＝57.43，95％CI：4.43～744.30）시발생학진연지적위험인소。결론녀성폐결핵환자역발생취진연지，초진선택위생실급사인진소、초진미섭흉편화섬양노인폐결핵환자역발생학진연지。
Objective To understand the delay factors of the treatment and diagnosis among pulmonary tuberculosis patients, and to provide scientific evidence for tuberculosis control.Methods A total of 128 pulmonary tuberculosis patients who was newly diagnosed and treated in Xiaoshan were enrolled in this study.The data of demography,medical history and tuberculosis knowledge were collected through questionnaires.Statistical method was used to analyze the current situation and delay factors of the treatment and diagnosis.Results The rate of treatment delay was 25.00%.Female patients without hemoptysis symptom,maintenance elderly,little knowledge of tuberculosis and low degree of education were relative to treatment delay among pulmonary tuberculosis patients (P <0.05 ).Multivariate logistic regression analysis showed that female(OR =6.39,95%CI:1.66 -24.61),was the delay factors of treatment.The rate of diagnosis delay was 50.78%.Multivariate logistic regression analysis showed that preliminary treatment in village or private clinics (OR =2.10,95%CI:1.00 -4.39),preliminary treatment without X ray (OR =3.91,95%CI:1.16 -13.19)and maintenance elderly (OR =57.43,95%CI:4.43 -744.30)were risk factors for delayed diagnosis.Conclusion The influencing factor for treatment and diagnosis delay are female,preliminary treatment in village or private clinics,preliminary treatment without X ray and maintenance elderly.
