CAJ | 학술논문

目的分析了解江西省乡镇查痰点工作现状,为提高全省乡镇查痰点实施质量和制定实施规范提供科学依据.方法拟对全省乡镇查痰点的实施现状进行横断面调查,通过对肺结核可疑症状者的问卷调查了解影响病人去乡镇查痰点就诊的因素,采用对关键人物的深入访谈了解肺结核病可疑症状者和结核病防治人员对乡镇查痰点的看法和建议,了解乡镇查痰点工作现状.结果全省共设立查痰点593个,本次抽样调查17个县(或县级市)的23个卫生院,2005年-2009年累计查痰人数为7252人次,发现涂阳病人数832人,涂阳病人发现比例为11.47%,平均每份痰标本补助经费2.43元,平均涂阳发现贡献率为3.38%.2006年涂阳发现贡献率最高(3.92%),随后一直到2009年涂阳发现贡献率逐年下降.100%乡镇查痰点没有生物安全柜.结论江西省乡镇查痰点在涂阳病人发现上起到了一定作用,平均涂阳发现贡献率为3.38%,但是近年来一直处于下降趋势.乡镇查痰点生物安全堪忧,而且没有一间乡镇查痰点有生物安全柜.另外,在人员、设备、经费投入及查痰点所设置位置是否合理上存在一定的问题,应综合运行情况进行合理调整,可以撤并部分查痰点.
목적분석료해강서성향진사담점공작현상,위제고전성향진사담점실시질량화제정실시규범제공과학의거.방법의대전성향진사담점적실시현상진행횡단면조사,통과대폐결핵가의증상자적문권조사료해영향병인거향진사담점취진적인소,채용대관건인물적심입방담료해폐결핵병가의증상자화결핵병방치인원대향진사담점적간법화건의,료해향진사담점공작현상.결과전성공설립사담점593개,본차추양조사17개현(혹현급시)적23개위생원,2005년-2009년루계사담인수위7252인차,발현도양병인수832인,도양병인발현비례위11.47%,평균매빈담표본보조경비2.43원,평균도양발현공헌솔위3.38%.2006년도양발현공헌솔최고(3.92%),수후일직도2009년도양발현공헌솔축년하강.100%향진사담점몰유생물안전거.결론강서성향진사담점재도양병인발현상기도료일정작용,평균도양발현공헌솔위3.38%,단시근년래일직처우하강추세.향진사담점생물안전감우,이차몰유일간향진사담점유생물안전거.령외,재인원、설비、경비투입급사담점소설치위치시부합리상존재일정적문제,응종합운행정황진행합리조정,가이철병부분사담점.
Objective To understand the status of Township sputum collecting center in Jiangxi Province, provide scientific basis for the quality of implementation and formulating implementation specification of the whole province's township sputum collecting center.Methods The cross-sectional survey on the implementation status of the township sputum collecting centers in province, to understand the impact factors of the tuberculosis suspicious go to the township sputum collecting center through questionnaire, in-depth interviews of key figures in TB suspicious and TB control staff for views and recommendations, to understand the status of work in township sputum collecting center. Results 593 centers were set up in the province, 23 hospitals were the survey sample in 17 counties (or county-level cities), 2005 - 2009 the cumulative number of sputum smeared was 7252, that 832 smear positive patients were found, the ratio of smear-positive patients was 11.47%, the average grant funds of each sputum specimens was 2.43 yuan, average contribution rate of smear positive detection was 3.38%. The highest contribution rate of smear positive detection was 3.92% in 2006, and then to 2009 smear positive contribution rate was declining. 100% of township sputum collecting centers had no biological safety cabinet. Conclusions Township sputum collecting centers in Jiangxi Province played a role in smear positive detection, average contribution rate was 3.38%, but in recent years has been in a downward trend. Township sputum collecting centers biological safety was worrying, there is no biological safety cabinet in township sputum collecting center. In addition, there are some problems in the personnel, equipment, location, financial input of sputum collecting center, the reasonable adjustments should be made according to comprehensive situation.