肺结核患者服药依从性现状及影响因素分析

发布时间：2018-06-09 06:36

本文选题：居家化疗传染性肺结核患者 + 服药依从性　；参考：《中国公共卫生》2014年04期

【摘要】：目的了解居家化疗传染性肺结核患者服药依从性状况,探讨其可能的影响因素。方法采用分层随机抽样方法,选取山东省6个地区共720例居家化疗肺结核患者作为研究对象,使用自行编制的问卷对其进行调查。结果 720例调查对象中,男性506例(70.3%),女性214例(19.7%);服药依从者316例(43.9%),服药不依从者404例(56.1%);未婚118例(16.4%),已婚551例(76.5%),离婚或丧偶50例(6.9%),以离婚或丧偶作为参照,在婚者服药依从性较好(OR=0.490,P=0.026);新农合621例(86.2%),城镇职工医保99例(13.8%),以新农合为参照,城镇职工医保患者服药依从性较差(OR=2.415,P=0.003);城镇户籍56例(7.8%),农村户籍664例(97.2%),以城镇户籍为参照,农村户籍患者服药依从性较差(OR=2.019,P=0.044)。结论山东6县区居家化疗传染性肺结核患者半数以上存在服药不依从行为,服药依从性与婚姻状态、医疗保障类型以及家庭户籍类型相关。
[Abstract]:Objective to investigate the drug compliance of family chemotherapy patients with infectious pulmonary tuberculosis and explore its possible influencing factors. Methods A stratified random sampling method was used to investigate 720 patients with chemotherapy pulmonary tuberculosis in 6 regions of Shandong province. Results among 720 subjects, 506 were male and 214 were female, 316 were 43.9, 404 were not, 118 were unmarried, 551 were married, 50 were divorced or widowed, 50 were divorced or widowed. The drug compliance of married people is better than that of Orang 0.490 Pu 0.026; Xinrong 621 cases have 86.2%, urban workers' medical insurance 99 cases have 13.820%, taking Xinrong as a reference, urban workers' poor compliance with taking medicine is 2.415U P0. 003; urban household registration 56 cases 7.8m; rural household registration 664 cases 97.2Dhe, with urban household registration as reference. The drug compliance of rural household registration patients was lower than that of ORG 2. 019 (P < 0. 044). Conclusion more than half of the patients with chemotherapeutic infectious pulmonary tuberculosis in 6 counties of Shandong province have drug disobedience behavior. The drug compliance is related to marital status, medical security type and household registration type.
【作者单位】：山东大学公共卫生学院卫生事业管理与妇幼卫生学系;山东大学公共卫生学院研究生教学办公室;
【基金】：山东省科技发展计划项目(2012GSF11843)
【分类号】：R521

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