78例耐多药肺结核患者治疗依从性分析

Analysis on Treatment Compliance of 78 Patients with Multidrug-resistant Tuberculosis

目的回顾性分析耐多药肺结核患者治疗的依从性,从中找出影响治疗依从性的因素。方法对在湖南省结核病医院门诊或住院治疗的78例耐多药肺结核患者治疗依从性情况进行回顾性分析。结果耐多药肺结核患者治疗依从性差,78例患者中完成24个月治疗的有16人占20.5%,完成18个月治疗的有17人占21.8%,完成12个月治疗的有29人占37.2%,治疗少于12个月的有16人占20.5%。其主要原因是经济状况差,难以完成24个月治疗期间的检查费、治疗费和药物费。结论增强耐多药肺结核患者抗结核治疗的依从性是提高耐多药肺结核治愈率的关键,它有赖全社会的关注,必须是政府、社会、家庭、医疗机构及患者本人共同配合,其中治前、治中的健康促进尤为重要。

Objective To retrospectively analyze medication adherence of multidrug-resistant tuberculosis patients so as to find out the factors influencing treatment adherence.Methods The situation about medication adherence of 78 multidrug-resistant tuberculosis outpatients or inpatients who received treatment in Hunan Provincial Tuberculosis Hospital was retrospectively analyzed.Results Medication compliance of 78 patients with multidrug-resistant tuberculosis was poor.Among the 78 patients,16（20.5%） completed 24 months of treatment,17（21.8%） finished 18 months of treatment,29（37.2%） completed 12 months of treatment,and 16（20.5%） received less than 12 months of treatment.The main reason for poor medication compliance was lower income,and the patients were not able to afford examination expenses,treatment fee and medicine expenses.Conclusions Enhancing medication compliance of multidrug-resistant tuberculosis patients is the key point to increase the curative rate of multidrug-resistant tuberculosis.It depends on the attention of the whole society and must be with the cooperation of the government,society,families,medical institutions,and the sufferers.And health promotion before the treatment and during the treatment period is particularly important.