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目的对老年肺结核可疑者结核病防治核心信息知晓情况、就诊行为及其影响因素进行调查和分析,为老年人群结核病防治工作的细化和重点化提供科学依据和数据支持。方法对831例65岁及以上的老年肺结核可疑者进行问卷调查,利用Epidata3.1录入问卷数据,采用SPSS17.0进行统计分析。结果肺结核可疑者中,10.3%有既往肺结核病史,95.8%有肺结核可疑症状;因症就诊率45.8%,结防所就诊率12.2%;结核病史(P=0.001/0.000)、现症情况(P=-/0.005)、是否有可疑症状(P=-/0.000)、症状持续多/少于3周(P=0.027/-)及结核病防治知识知晓合格与否(P=0.000/0.015)是可疑者因症就诊/结防所就诊情况的主要影响因素;可疑者对肺结核防治核心信息总知晓率为60.3%,性别(P=0.038)、年龄(P=0.003)、TB病史(P=0.000)、症状持续时间(P=0.000)是可疑症状者核心信息知晓情况的主要影响因素。结论老年肺结核可疑者就诊率及核心信息知晓率均较低,在今后的结核病防治信息传播上,要根据性别、年龄及病史等情况,有针对、有重点地采取健康宣教措施。
Objective To investigate the core information of tuberculosis prevention and treatment of senile pulmonary tuberculosis, investigate the behavior and its influential factors, and provide scientific basis and data support for the refinement and emphasis of prevention and control of tuberculosis in the elderly population. Methods A total of 831 suspected pulmonary tuberculosis patients aged 65 and over were surveyed. Epidata 3.1 was used to record questionnaire data and SPSS17.0 was used for statistical analysis. Results Of the suspicious TB patients, 10.3% had a history of previous pulmonary tuberculosis and 95.8% had suspicious symptoms of tuberculosis; 45.8% of them were diagnosed with symptoms and 12.2% of them were diagnosed as TB patients; the history of tuberculosis (P = 0.001 / 0.000) (P = 0.000 / 0.015) were suspicious (P = - / 0.000), symptom duration more / less than 3 weeks (P = 0.027 / -) and knowledge of tuberculosis control (P = 0.000 / 0.015) (P = 0.038), age (P = 0.003), and TB history (P = 0.000). The total awareness rate of TB patients with tuberculosis was 60.3% , The duration of symptoms (P = 0.000) was the main influencing factor of the core information of suspicious symptoms. Conclusions The rate of visits and core information of suspicious TB patients in elderly patients is relatively low. In the future communication of TB prevention and control information, health education and education measures should be targeted and focused on the basis of sex, age and medical history.