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背景:马来西亚,沙巴,Kota Kinabalu及其周边社区。 目的:了解影响抗结核化疗病人依从性的诸因素,以及他们的结核病知识水平及和DOTS管理的改进意见。 设计:对2000年8月至9月期间到诊所DOTS治疗的合作及不合作病人进行家庭访视。 结果:共访问了63例合作病人和23例不合作病人。对于不合作者,他们去治疗中心的花费(P<0.005)及旅途时间(P<0.005)均比合作者明显要多。交通费常常是不去治疗的主要原因。不合作病人中完成中等教育的多(P<0.05),并且有工作的也多(P<0.01)。更多的不合作者中其家庭成员曾患过本病(P<0.01)。有关结核病知识的得分,两组间无差别;但是,不合作病人大多认为,当症状消失后便可停止治疗(P<0.01)。很多病人(73％)认为,通过提供更多的结核病知识可改善DOTS管理体系。 结论:赴治疗中心的交通费、占用的时间及家庭成员曾患过结核病等因素对沙巴,Kota Kinabalu地区病人的DOTS依从性产生影响。病人愿意获得更多关于结核病的知识。
Background: Kota Kinabalu, Malaysia, Sabah, and surrounding communities. OBJECTIVES: To understand the factors that influence patient adherence to anti-tuberculosis chemotherapy as well as their knowledge of tuberculosis and improvement of DOTS management. Design: Family visit to cooperating and non-cooperating patients who come to the clinic for DOTS treatment from August to September 2000. Results: A total of 63 cooperative patients and 23 non-cooperative patients were interviewed. For non-partners, they spent significantly more to the treatment center (P <0.005) and journey time (P <0.005) than the co-workers. Transportation is often the main reason for not going to treatment. There was more secondary education among non-cooperative patients (P <0.05) and more work was done (P <0.01). More non-partners in their family members had had this disease (P <0.01). There was no difference between the two groups regarding knowledge of tuberculosis; however, most noncooperative patients considered treatment discontinued when the symptoms disappeared (P <0.01). Many patients (73%) believe that the DOTS management system can be improved by providing more TB knowledge. CONCLUSIONS: Factors such as transport costs to the treatment center, time spent and family history of tuberculosis have an impact on DOTS compliance in patients in Kota Kinabalu, Sabah. Patients are willing to get more knowledge about tuberculosis.