山东户籍及流动人口肺结核患者就诊延迟现状及影响因素

发布时间：2018-08-13 21:09

【摘要】：目的了解户籍与流动人口肺结核患者的就诊延迟现状及其影响因素。方法采用单纯随机抽样方法选取山东省4个全球基金项目县,通过自制问卷对目标县登记的肺结核患者进行调查。结果调查的928例患者中户籍人口患者595例(64.1%),流动人口患者333例(35.9%),中位年龄分别为51和28岁,就诊间隔的中位天数分别为30和17 d,就诊延迟率分别为66.4%和56.2%;多因素logistic回归分析结果显示,咳嗽咳痰(OR=3.0,95%CI=1.6~5.6)、痰检阳性(OR=1.7,95%CI=1.0~2.9)、就诊患者(OR=7.6,95%CI=2.7~21.0)和转诊患者(OR=9.0,95%CI=3.1~26.2)是户籍人口患者就诊延迟的危险因素,咯血(OR=0.4,95%CI=0.2~0.9)是其保护因素;咳嗽咳痰(OR=2.3,95%CI=1.4~3.7)、痰检阳性(OR=1.9,95%CI=1.3~2.8)、就诊患者(OR=3.8,95%CI=1.8~8.0)和转诊患者(OR=5.6,95%CI=2.5~12.3)是流动人口患者就诊延迟的危险因素。结论无论户籍还是流动人口,对肺结核疑似症状的警惕性不强,缺乏及时到医疗卫生机构就诊的意识是其就诊延迟的主要原因,需采取针对性措施予以改进。
[Abstract]:Objective to investigate the status quo and influencing factors of delay of visit in pulmonary tuberculosis (TB) patients with household registration and floating population. Methods simple random sampling method was used to investigate the pulmonary tuberculosis patients registered in the four counties of Shandong Province by self-made questionnaire. Results among 928 patients, 595 (64.1%) were registered residents and 333 (35.9%) were floating population. The median age was 51 and 28 years old, respectively. The median days of the interval were 30 days and 17 days respectively, and the delay rates were 66.4% and 56.2%, respectively. The results of multivariate logistic regression analysis showed that, Cough and expectoration (OR3. 0 ~ 95CI1. 6), positive sputum examination (OR1. 795), patients (OR7. 695) and referrals (OR9. 0 ~ 95CII) were risk factors of delayed visit, and hemoptysis (ORP. 0. 495 CI: 0. 20.9) was the protective factor. Cough and expectoration (OR 2.3C95), positive sputum examination (OR1.9 / 95CI1.32.8), patients (Orr 3.895) and referrals (OR5.695 / 95CI2.512.3) were risk factors of delayed visit for floating population. Conclusion No matter hukou or floating population is not alert to suspected symptoms of pulmonary tuberculosis and lack of awareness of visiting medical and health institutions in time is the main reason for the delay in visiting medical and health institutions, so it is necessary to take targeted measures to improve it.
【作者单位】：山东省胸科医院结核病防治中心;中国疾病预防控制中心结核病预防控制中心;山东大学公共卫生学院;
【基金】：第五轮中国全球基金结核病项目(CHN-506-G08-T)
【分类号】：R521

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