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目的调查砚山县涂阳结核病人密切接触者结核病筛查情况并分析其相关影响因素。方法随机选取在2011-2013年砚山县所有结核病门诊新登记的涂阳肺结核患者292例,将与其共同居住生活≥6个月的家庭成员作为涂阳肺结核密切接触者,共抽取密切接触者528名作为研究对象,进行问卷调查和就诊信息查询,计算结核病筛查率,并分析其影响因素。结果本地区涂阳结核病人密切接触者结核病筛查率为67.42%(356/528);经单因素和多因素logistic回归分析,家中病人痰检结果(OR=2.241,95%CI=1.378~5.679)、未接受过相关健康宣教(OR=1.736,95%CI=1.102~4.826)、不知晓国家免费政策(OR=1.487,95%CI=1.064~4.362)、不知晓结核病就诊去向(OR=1.264,95%CI=1.031~3.107)和不在乎(OR=1.377,95%CI=1.049~2.894)为影响涂阳肺结核患者密切接触者是否参加筛查的主要因素。结论本地区涂阳结核病人密切接触者结核病筛查率不高,应提高结核病知识及政策的健康宣教,提高筛查率。
Objective To investigate the screening of tuberculosis among close contacts of smear-positive TB patients in Yanshan County and analyze the related factors. Methods A total of 292 new smear-positive pulmonary tuberculosis patients were enrolled in all TB clinics in Yanshan County from 2011 to 2013. Family members who lived with their cohorts for ≥6 months were selected as close contacts of smear-positive pulmonary tuberculosis and 528 Name as the research object, conduct questionnaires and medical information query, calculate the screening rate of tuberculosis, and analyze the influencing factors. Results The screening rate of tuberculosis was 67.42% (356/528) in close contact with smear-positive TB patients in this area. The results of sputum test (OR = 2.241, 95% CI = 1.378-5.679) by single factor and multivariate logistic regression analysis (OR = 1.367, 95% CI = 1.064 ~ 4.362), who did not know the destination of tuberculosis (OR = 1.264, 95% CI = 1.102-4.826) , 95% CI = 1.031 ~ 3.107) and indifference (OR = 1.377,95% CI = 1.049-2.894) were the main factors influencing the screening of the close contacts of smear positive pulmonary tuberculosis patients. Conclusion The screening rate of TB in close contact with smear-positive TB patients in this area is not high, so it is necessary to improve the health education of tuberculosis knowledge and policies and improve the screening rate.