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目的了解村医生发现与督导管理结核病病例的现状。方法采用多阶段整群分层随机抽样方法选取样本,使用自制调查问卷,采取面对面询问方式调查。结果37.6%的村医生发现过可疑肺结核症状者,村医生对结核病病例发现贡献度为74.5%,36.2%的村医生督导过肺结核患者,结核病病例的督导管理率为84.1%,83.0%的村医生对村民和结核患者开展过健康教育。结论村医生在结核病病例发现与督导中作用未达到预期效果,应加强对村医生的专业培训和对现代结核病控制策略(directly observed treatment,short-course,DOTS)的了解,提高村医生的综合素质。
Objective To understand the status of village doctors in discovering and supervising the management of tuberculosis cases. Methods A multistage stratified stratified random sampling method was used to select samples, and a questionnaire was used to make face-to-face interrogation. Results 37.6% of village doctors found suspicious TB symptoms. Among them, village doctors contributed 74.5% to tuberculosis cases. 36.2% of village doctors supervised tuberculosis cases. The supervised management rate of tuberculosis cases was 84.1%, and 83.0% of village doctors Health education for villagers and tuberculosis patients. Conclusion Village doctors did not achieve the expected results in the detection and supervision of TB cases. Professional training of village doctors and understanding of modern observed short-course (DOTS) methods should be strengthened to improve the overall quality of village doctors .