陕西省城固县麻风病延迟诊断原因探讨

Discuss and Investigation of Delay-detection for Leprosy Patients in Chenggu County,Shaaxi Province

目的探讨陕西省城固县麻风病延迟诊断的原因。方法对1999～2004年陕西省城固县新发现和现症麻风病人进行个人访谈;对城固县、乡镇、村级综合医疗卫生人员进行问卷调查和焦点小组访谈;对关键知情人进行个人访谈和一般人群焦点小组讨论。结果①一般人群对麻风病的认知程度低,患麻风病而不能早期主动就诊。②县、乡镇、村级综合医疗卫生人员对麻风病的认知程度低,不能提供有关麻风病的线索或诊断麻风病。结论①应进一步开展麻风病科普宣传,提高一般人群对麻风病的认识程度,早期主动就诊。②开展县、乡镇、村级综合医疗卫生人员麻风防治知识培训,提高他们的麻风病防治知识和技能,早期提供麻风病的线索或诊断麻风病。

Objective To discuss the cause of delay-detection for leprosy in Chenggu county, Shaaxi provinec. Methods Individual visiting for new and active leprosy patients from 1999 to 2004, questionnaire investigating and focus group visiting for general health workers in village, town and county in Chenggu county. Individual visiting for key people and focus group visiting for general public. Results General public knew a little about leprosy and could not go clinic for carey detection activily, general health workers knows a little about leprosy and could not provide clue of leprosy and make early detection. Conclusion For general public, health education for leprosy should be developed, and their knowledge should be improved, in order to promote their behavior or early detecting. For healthy workers, Training for leprosy knowledge should be strengthened, their knowledge and skills should be improved, in order to make early clue proviling and detecting.