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目的了解湖南省双感患者治疗依从性及影响因素,探讨提高双感患者治疗依从性方法。方法采用问卷调查的方法,对2011年9月-2012年12月期间全省161例双感患者进行调查,分析患者的性别、年龄、职业等因素对依从性的影响。结果双感患者的依从性为80.1%,单因素分析显示,依从性的影响因素为民族(P=0.047)、文化程度(P=0.034)、年龄(t=-2.543,P=0.012)、家庭人口数(t=-2.260,P=0.025)、家庭年人均收入(t=2.258,P=0.025)、居住地到抗结核治疗机构距离(t=-2.672,P=0.008);多因素分析结果显示,年龄大(OR=1.037)、居住地到抗结核治疗机构距离远(OR=1.020)是影响依从性的危险因素。结论要增加双感患者治疗依从性,应重视患者的健康教育,适当为贫困患者适当提供补助。
Objective To understand the treatment compliance and influencing factors of patients with dual-sense in Hunan Province and to explore ways to improve the compliance of treatment in patients with dual-sense. Methods A questionnaire survey was conducted to investigate the influence of compliance, sex, age and occupation among 161 patients with dual-sense in the province from September 2011 to December 2012. Results The compliance of patients with dual-symptom was 80.1%. Univariate analysis showed that the factors of compliance were ethnicity (P = 0.047), education level (P = 0.034), age (t = -2.543, P = 0.012) The annual per capita income (t = 2.258, P = 0.025), the distance from the place of residence to the anti-tuberculosis treatment institution (t = -2.672, P = 0.008); the result of multivariate analysis Showed that older (OR = 1.037) and far away from the place of anti-TB treatment (OR = 1.020) were the risk factors for compliance. Conclusion To increase the treatment compliance of patients with dual-sense, we should attach importance to the health education of patients and appropriately provide appropriate subsidies for those who are poor.