耐多药肺结核病人治疗依从性分析及干预对策

Treatment Compliance of Multi-drug Resistant Patients with Pulmonary Tuberculosis and Its Intervention Countermeasures

目的了解耐多药肺结核病人治疗依从性的情况及影响因素,探讨干预对策。方法调查湖南省结核病医院2006年10月-2008年3月收治的110例耐多药肺结核病人,了解规律治疗情况及影响因素。结果110例耐多药肺结核病人均为复治,其中男性78例(70.9%),女性32例(29.1%),年龄18～70岁。病人来自农村102例(92.7%),城镇8例(7.3%)。依从性良好的21例(19.1%),依从性差的89例(80.9%)。治疗依从性与病人的文化程度、对该病的知晓情况、病情和家庭经济状况等因素有关。结论应重视耐多药肺结核病人的治疗管理工作,采取综合、有效的干预对策,提高治疗依从性。

Objective To know the treatment compliance condition and the influencing factors of multi - drug resistant patients with pulmonary tuberculosis, and to probe the intervention countermeasures. Methods Totally 110 inpatients with pulmonary tuberculosis in Hunan Provincial Tuberculosis Hospital from October, 2006 to March, 2008 were investigated, and the treatment rules and the influencing factors were probed too. Results Altogether 110 cases of MDR TB patients were recurred, among them, 78 （70.9%） were males and 32 （29.1%） were females both aged 18 to 70 years. 102 patients （92.7 % ） came from countryside, and 8 patients （7.3 % ） from cities. The compliance of 21 （ 19.1% ） patients appeared well, while the compliance of 89 （80.9 % ） patients appeared poor. A few factors were concerned with treatment compliance, such as educational background, understanding level in person, disease progress, familial income, etc. Conclusions It is necessary to pay attention to treatment management for multi - drug resistant patients with pulmonary tuberculosis, adopting comprehensive and effective intervention countermeasures in order to enhance treatment compliance.