论文部分内容阅读
目的应用肺结核患者生命质量评价,对影响生命质量的不利因素实施干预,促进结核患者的归口管理。方法根据结核病生存质量测定专用量表的测评结果,针对影响肺结核患者生存质量的不利因素,对2008年新发现的386例疑似肺结核患者,运用自制的“流动人口肺结核患者转诊须知”与传统转诊口头讲解的方法相结合,追踪时继续围绕“转诊须知”进行健康教育等干预措施;并将干预后与干预前的转诊到位率相比较。结果2008年转诊的386例疑似肺结核患者,转诊到位286例,转诊到位率74.1%,比2007年同期相比提高20.1%,到位率提高具有统计学意义(P<0.001)。结论应用肺结核患者生命质量评价,指导临床结核患者转诊工作,对实现(DOTS)战略和结核病“高发现率、高治愈率”起着重要的作用。
Objective To evaluate the quality of life of pulmonary tuberculosis patients and to intervene the unfavorable factors that affect the quality of life so as to promote the centralized management of tuberculosis patients. Methods According to the evaluation results of the special scale for measuring the quality of life of tuberculosis and the unfavorable factors affecting the quality of life of patients with pulmonary tuberculosis, 386 cases of suspected pulmonary tuberculosis newly discovered in 2008 were analyzed using the self-made “Guidelines for referral of pulmonary tuberculosis among floating population” Traditional oral referral method of combination of referral, follow-up to continue around the “referral information” for health education and other interventions; and post-intervention and pre-intervention referral rate compared. Results The number of referral cases in 2008 was 386 (286 cases). The referral rate was 74.1%, an increase of 20.1% compared with that of the same period of 2007. The rate of arrival was statistically significant (P <0.001). Conclusion The evaluation of life quality of patients with pulmonary tuberculosis and guidance of clinical TB patients referral plays an important role in DOTS strategy and tuberculosis “high detection rate and high cure rate”.