贵州省肺结核患者家庭经济负担及其影响因素研究

发布时间：2018-04-05 20:01

本文选题：肺结核　切入点：家庭经济状况　出处：《贵阳医学院》2014年硕士论文

【摘要】：目的了解贵州省肺结核患者家庭疾病经济负担现状,分析影响家庭疾病经济负担的主要因素,为贵州省肺结核病防治提供科学对策。方法分层抽取2011年6月-2012年6月贵州省10个样本县区登记的400例(每个县区40例)已经结束治疗的肺结核病患者进行问卷调查,内容包括结核病患者的基本情况、家庭经济状况及结核病费用支出情况等。考虑到应答率,每个样本县多发放问卷3例,共发放问卷430份,回收有效问卷400份(回收率93.02%)。对患者的人口学特征及家庭经济状况等进行描述性统计；采用Kruskal-Wallis H检验对患者家庭直接经济负担、间接经济负担和总经济负担进行比较分析；采用logistic回归模型对影响患者家庭疾病直接经济负担、间接经济负担、总经济负担的影响因素进行分析。结果(1)家庭疾病费用支出中位数5281.88元(例均8216.13元),其中家庭疾病直接费用支出中位数2680.00元(例均5769.31元),家庭疾病间接费用支出中位数1909.94元(例均2446.82元)；(2)影响患者家庭疾病经济负担的因素包括住院、不同收入水平、不同年龄组、就诊延误、文化程度、首诊单位和确诊前就诊次数(P0.05)。结论(1)贵州省肺结核患者家庭疾病经济负担较重；(2)住院,低收入,年龄在30～44岁之间,出现就诊延误,小学及小学以下文化水平,首诊单位选择诊所民营机构,确诊前就诊次数超过4次的患者群体为负担较重群体;(3)为进一步降低肺结核患者家庭疾病经济负担。应做好以下几点：①加强对该类结核患者防治经费投入；②落实防治结核知识宣传；③健全对基层医务人员的培训制度;④强化医疗机构对结核患者的诊疗规范；⑤完善对结核患者的医疗保障体系。
[Abstract]:Objective to understand the present situation of the family disease economic burden of pulmonary tuberculosis patients in Guizhou province, analyze the main factors influencing the family disease economic burden, and provide scientific countermeasures for the prevention and control of pulmonary tuberculosis in Guizhou province.Methods from June 2011 to June 2012, 400 TB patients (40 in each county) who were registered in 10 sample counties in Guizhou Province were investigated with questionnaires, including the basic situation of TB patients.Family economic status and tuberculosis expenditure and so on.Considering the response rate, three more questionnaires were sent out in each sample county, 430 questionnaires were sent out and 400 valid questionnaires were collected (recovery rate 93.02%).Descriptive statistics were carried out on the demographic characteristics and family economic status of the patients, and the direct economic burden, indirect economic burden and total economic burden of the patient's family were compared and analyzed by Kruskal-Wallis H test.Logistic regression model was used to analyze the influence factors of direct economic burden, indirect economic burden and total economic burden on patients' family diseases.Results 1) the median expenditure on family diseases was 5281.88 yuan (average 8216.13 yuan), of which the median expenditure for direct expenses for family diseases was 2680.00 yuan (5769.31 yuan for cases), and the median expenditure for indirect expenses for family diseases was 1909.94 yuan (2446.82 yuan for cases).Factors contributing to the financial burden of family illness include hospitalization,Different income levels, different age groups, delay, education, first visit units and the number of visits before diagnosis P0.05.Conclusion 1) the family disease burden of pulmonary tuberculosis patients in Guizhou Province is heavy. 2) the family disease burden of pulmonary tuberculosis patients in Guizhou Province is heavy. 2) low income, aged between 30 and 44 years old, delay in seeing a doctor, education level in primary school and below primary school, the first visit unit chooses the private organization of clinic.The patients with more than 4 visits before the diagnosis were the heavy burden group (3) to further reduce the economic burden of family diseases of pulmonary tuberculosis patients.The following points should be done: (1) strengthen the investment in the funds for the prevention and treatment of this kind of tuberculosis patients. (2) carry out the propaganda of the prevention and treatment of tuberculosis knowledge and improve the training system for the medical personnel at the grass-roots level. (4) strengthen the standard of diagnosis and treatment of TB patients in medical institutions;5 to perfect the medical security system for tuberculosis patients.
【学位授予单位】：贵阳医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R521

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