济宁市农村初治涂阳肺结核病人发现延迟情况及就诊延迟影响因素分析

The Research on Detection Delay and Patient's Delay Influencing Factors of Rural New Smear Positive Pulmonary TB of Ji'ning City

[目的]探讨农村初治涂阳肺结核病人发现延迟情况,分析影响就诊延迟的因素。[方法]2001年在济宁市4个县(市)抽取200例农村初治涂阳肺结核病人进行调查,并应用多元逐步回归模型分析影响就诊延迟的因素。[结果]200例病人的就诊延迟时间(中位数)为51.62 d,诊断延迟时间(中位数)为34.13 d,发现延迟时间(中位数)为82.67 d。影响初治涂阳肺结核病人就诊延迟的主要因素是对结核病严重性的看法、病人家庭经济状况、是否知道结核病防治所。[结论]济宁市农村初治涂阳肺结核病人延迟发现时间较长,对结核病严重性认识不足,家庭经济状况较差,不知道结核病防治所的病人就诊延迟时间较长。

[Objective]To study the detection delay and patient＇s delay influencing factors of rural new smear positive pulmonary TB. [Methods]Questionnaire survey was conducted among selected rural new pulmonary TB. Multivariate linear regression analysis was carried out to find the patients delay influencing factors. [Results] Detection delay was 83 days. Patient＇s delay was 52 days. Patient＇s delay influencing factors were the views on the seriousness of TB, the patient＇s family economic situation,knowing TB control center or not. [Conclusion]Detection delay of rural new smear positive pulmonary TB of Ji＇ning was a longer time. The main shortening patient＇s delay interventions should be improving the patient＇s family economic situation,improving health education of TB.