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目的了解影响肺结核病患者抗结核治疗依从性的相关因素。方法应用定量研究与定性研究相结合的方法,对肺结核患者进行问卷调查和深入访谈。结果66.2%的患者治疗过程中有医生督导,但74.5%的患者认为没有必要专人督导服药;16.2%的患者在治疗过程中有漏服药,仅3.7%的患者中断治疗;影响治疗依从性的因素有患者意识因素(认为治疗一段时间症状好转后可停药、认为抗结核化疗时间不需要6个月和出现药物副反应后的处理方法为立即停药)和卫生服务提供方行为因素(在治疗期间有专人督导服药,上级医生督导次数)。结论加强结核病的健康促进工作,提高全民结核病防治知识知晓率,增强患者的结核病防治意识,从而提高治疗依从性;落实医务人员的督导行为,加大上级医生对村医和患者双方的督导,真正执行直接面视下的短程化。
Objective To understand the factors influencing the compliance of antituberculosis treatment in patients with pulmonary tuberculosis. Methods Using the combination of quantitative research and qualitative research, we conducted a questionnaire survey and in-depth interviews with patients with pulmonary tuberculosis. Results 66.2% of the patients were supervised by the doctor during the course of treatment, but 74.5% of the patients did not think it necessary to supervise the medication; 16.2% of the patients missed the medication during the course of the treatment and only 3.7% discontinued the treatment; Patient-conscious factors (discontinuation of treatment after symptoms improved for some time, discontinuation of anti-tuberculosis chemotherapy for 6 months and immediate discontinuation after drug side effects) and behavioral factors of health service providers During the supervision of a person taking medication, supervisor number of supervision). Conclusion To strengthen the health promotion work of tuberculosis, raise the awareness rate of tuberculosis prevention and control among all people and enhance the tuberculosis prevention consciousness of patients so as to improve the treatment compliance; to supervise the medical staff and strengthen supervision of both village doctors and patients by the senior doctors; Perform short-range in direct view.