农村社区结核病诊疗管理模式研究的随访调查

Follow-up survey of results of rrural community-based TB control model in project participated areas in Guangxi

目的评价研究设立的农村社区结核病诊疗管理模式,为我区农村结核病防治策略制定和干预措施的实施提供科学依据。方法对研究实验组及对照组全部初治病人进行现场随访问卷调查,收集病人就诊及治疗情况的相关数据并进行单因素分析和多因素logistic回归分析。结果项目实施期间实验组病人的就诊延迟发生率(12.9%)显著低于县内对照组(28.6%)和县外对照组(26.5%);干预组的确诊延迟发生率(72.6%)低于县内对照组(85.7%)和县外对照组(79.2%);按时服药率90.3%,按时领药率100.0%、按时复查痰率83.9%均高于对照组,差异有统计学意义;其他各项规范治疗、管理指标也均优于对照组。结论通过问卷调查了解到农村社区结核病诊疗管理模式经过两年干预试验研究取得了良好的成效,可供全区其他农村社区结核病防治工作借鉴和推广运用。

Aim To evaluate the effect of a new tubereulosis（TB） control and management model in rural communities of Guangxi Province and provide a scientific basis for making TB control strategies in rural areas. Methods Questionnaire survey of the diagnosis,and treatment of initiall treated tuberculosis cases in intervention group and control group was conducted in the field and the resuhs were analyzed with univariate and multivariate logistic regression analysis. Results The delay incidence in seeking medical service （12.9%） in intervention group was significantly lower than the inner-county control group （28.6%）and the outer-county control group （26.5%）,thc diagnostic delay incidence of intervention group （72.6%） was also lower than ICG （85.7%） and OCG （79.2%）. The timely drug administration rate, druag elaining rate and sputum reexamination rate in intervention group were 90.3% ,100.0%and 83.9% ,higher than that of the control groups and showing statistical significance （P〈0.05）. Conclusion The new tubeculosis control andf management model is effective and worthwile to be popularized in tuberculosis control and management in rural areas.