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目的:分析涂阳肺结核患者一般人口学特征及治疗依从性对其预后的影响,了解治疗依从性的主要影响因素,为改善涂阳肺结核患者治疗管理工作提供科学依据。方法:收集涂阳肺结核患者病人的治疗管理记录资料,入户面对面问卷调查和个人访谈。结果:在381例新发涂阳肺结核患者中,依从性好的病人达328例,治愈301例,治愈率92.0%;在依从性差的53例患者中,治愈15例,治愈率仅28.3%,依从性差的原因主要是药物不良反应,其次为并发症、经济困难及对结核病相关知识认知程度低。结论:提高肺结核患者治疗依从性,是社会、家庭、医疗机构及患者本人共同的责任,充分的健康教育,做好用药督导,及时解决在治疗中出现的不良反应,改善肺结核患者心态,增强医治信念,是提高患者的依从性和治愈率的基本策略与措施。
OBJECTIVE: To analyze the general demographic characteristics and treatment compliance of smear positive pulmonary tuberculosis patients, and to understand the main influencing factors of treatment compliance and to provide a scientific basis for improving the treatment management of smear positive pulmonary tuberculosis patients. Methods: The records of patients with smear positive pulmonary tuberculosis were collected from treatment management, face-to-face questionnaire survey and personal interviews. Results: Of the 381 newly diagnosed smear-positive pulmonary tuberculosis patients, 328 had good compliance, 301 were cured, and the cure rate was 92.0%. Among 53 patients with poor compliance, 15 were cured and the cure rate was only 28.3% The main reasons for the poor compliance were adverse drug reactions, followed by complications, economic difficulties and low awareness of TB-related knowledge. Conclusion: To improve the treatment adherence of patients with pulmonary tuberculosis is the common responsibility of society, families, medical institutions and patients themselves. Adequate health education should be done to supervise the use of drugs, promptly solve adverse reactions during treatment, improve the psychology of patients with pulmonary tuberculosis, and enhance treatment Beliefs, is to improve patient compliance and cure rate of the basic strategies and measures.