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目的了解石家庄市鹿泉区肺结核病人就诊延迟情况,探索与就诊延迟相关的主要因素。方法收集石家庄市鹿泉区2013-2015年登记的结核病病人的个案资料,用描述性方法分析就诊延迟率,并对就诊延迟情况及相关因素进行统计学分析。结果石家庄市鹿泉区肺结核病人就诊延迟率为32.86%,就诊延迟中位数为31 d,20.63%就诊延迟在1个月以上。性别、年龄和病人来源与就诊延迟相关,女性就诊延迟高于男性(OR=1.504,95%CI=1.018~2.223);15~29岁组低于其他年龄组(OR=1.940,95%CI=1.215~3.097);因症就诊病人就诊延迟高于转诊、追踪(OR=0.192,95%CI=0.072~0.512);因症推荐病人就诊延迟高于转诊、追踪病人(OR=0.147,95%CI=0.029~0.740)。结论石家庄市鹿泉区肺结核病人就诊延迟率较高,就诊延迟与性别、年龄和来源相关。建议采取综合有效措施,减少肺结核病人就诊延迟现象。
Objective To understand the delayed treatment of tuberculosis patients in Luquan District of Shijiazhuang City and to explore the main factors related to delayed treatment. Methods The data of TB patients registered in Luquan District of Shijiazhuang City from 2013 to 2015 were collected. The delay rate of visiting TB patients was analyzed by descriptive method. The delay of visits and related factors were analyzed statistically. Results The detention rate of pulmonary tuberculosis patients in Luquan District of Shijiazhuang was 32.86%, the median delay in treatment was 31 days, and the delay of treatment in 20.63% was more than one month. Sex, age and source of patients were associated with delayed visits, with a higher delay for women than for males (OR = 1.504, 95% CI = 1.018-2.223); those aged 15-29 years were lower than the other age groups (OR = 1.940, 95% CI = (OR = 0.192, 95% CI = 0.072-0.512). The delay in referral of patients recommended by illness was higher than that of referral and follow-up patients (OR = 0.147, 95 % CI = 0.029 ~ 0.740). Conclusion The delaying rate of pulmonary tuberculosis patients in Luquan District of Shijiazhuang City is high, and the delay of the visit is related to gender, age and origin. It is recommended to take comprehensive and effective measures to reduce the delay in the treatment of tuberculosis patients.