流动人口肺结核社区干预的效果分析

Analysis of results of community intervention on tuberculosis patients in mobile population

目的用生存质量Qol量表测评肺结核(TB)流动人口社区干预的效果。方法运用SF-36量表等调查表,对20个干预社区403例流动人口活动性肺TB,进行Qol测量和社区干预效果评价。结果社区干预后,流动肺TB患者的平均SF-36总评分及8个分项目的评分比较,差异有显著性(P<0.01);肺结核KAP评分和BIP评分均大幅提高(P<0.01);主要影响因素包括工作及居住环境、劳动强度、生活方式、营养饮食、健康教育和家庭支持。结论社区干预是有效地防治肺结核病的必要手段之一,运用生存质量测评指导社区干预的规划、实施和效果评价,是一种简便、可行、高效的方法。

Objective To assess the effect of the community - based health education intervention on the quality of llfe（Qol） of palients with pulmonary tuberculosis （TB） in floating population. Methods Qol of 403 folafing patients with TB in 20 community were measured by MOS SF - 36 and the effect of health intervention in community was assessed. Results After community - based health education intervention significant differences were observed as compared the average total mark of SF - 36 and the 8 subdivisions in TB patients of floating population （ P 〈 0.01 ） and the KAP and BIP marks were markedly enhanced after health education intervention. The main influential factors were working and living environment, intensity of work, life style, nutrition, health education and family support. Conclusion Community - based health education intervention is one of necessary means for effectve control of tuberculosis and the use of Qol for guidance of design of intervervention, implementation and evaluation is simple, feasible and effective.