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目的 :分析造成肺结核病人不遵医行为的原因及提高遵医行为的措施。方法 :采用访问调查的方法 ,对 115例复治病人进行调查 ,分析其不遵医行为造成结核病人治疗失败的主要原因。结果 :115例复治结核病人 176人次 ,不遵医行为导致治疗失败的主要原因为 :对自身疾病认识不足 5 3.0 4% ,治疗方法不妥 34 .78% ,经济困难16 .5 2 % ,耐药菌感染 2 4.35 %。结论 :加强普及结核病防治知识和结核病控制项目的宣传力度 ,建立“引导—合作型”和“相互参与型”的护患关系 ,提高肺结核病人到专门的结核病防治机构就医的意识 ,建立社区和家庭双重监督机制从而提高病人的遵医率 ,提高结核病人的治愈率。
OBJECTIVE: To analyze the causes of non-compliance of TB patients and the measures to improve compliance. Methods: An interview survey was conducted to investigate 115 cases of retreatment patients and analyze the main reasons for their failure to comply with medical practices. Results: The number of 115 retreatment tuberculosis patients was 176, the main reasons for the failure of medical treatment were as follows: the awareness of their own diseases was less than 5 3.0 4%, the treatment was not satisfactory 34.78%, the economic difficulty was 16.52% Drug-resistant bacteria infected 2. 4.35%. CONCLUSIONS: Strengthened propaganda of popularizing tuberculosis prevention and control and tuberculosis control projects, establishing the relationship between nurse and patient of “guide-cooperation type” and “mutual participation type”, raising the awareness of tuberculosis patients to special tuberculosis prevention and treatment institutions for medical treatment, and establishing community and family Double monitoring mechanisms to improve patient compliance and improve the cure rate of TB patients.