结核病控制项目地区复治肺结核病人既往不规则治疗原因探讨

Explore the causes of prior irregular treatment among re-treatment pulmonary TB cases in TB Control Project Areas

目的探讨复治肺结核病人既往不规则治疗的原因。方法病人不规则治疗原因调查以调查表的方式入户进行。结果复治肺结核病人既往不规则治疗的主要原因是病人自感症状好转停药,其次是经济困难。结论为提高肺结核病人的治疗依从性,减少复治病人,特别是耐药病人的发生,最有效的手段是督导化疗,其次是实行免费治疗,减轻病人的经济负担,还要加强对结核病人的宣传教育,提高其对结核病,特别是对结核病治疗的正确认识。

Objective To explore the causes of prior irregular treatment among the re-treatment pulmonary tuberculosis(TB) cases.?Method Face to face interview was conducted to the re-treatment TB patients with the prior irregular treatment by using the designed questionnaire.?Result The first main cause of prior irregular treatment among the re-treatment TB patients was to stop treatment when they felt better,and the second was economic barrier.?Conclusion In order to increase the compliance of the patients to the treatment,reduce the occurrence of re-treatment and drug resistant cases,the most effective measure is DOTS,the second is to provide free treatment to TB patients and reduce their economic burden,and the third is to strengthen the health education to TB patients and improve their correct awareness on TB knowledge,especially on TB treatment.