以患者需求为基础的肺结核综合治疗管理模式应用效果评价

Evaluation of Demand-based Comprehensive Treatment and Management Mode in Tuberculosis

目的评价以患者需求为基础的肺结核综合治疗管理模式的应用效果。方法选择2006年新登记的活动性肺结核患者415例为对照组,采取家庭督导治疗管理模式;2009年新登记的活动性肺结核患者460例为观察组,采取以患者需求为基础的肺结核综合治疗管理模式。比较两组患者按时复查率、规律服药率及治疗成功率。结果对照组按时复查率为88.1%(318/361)、规律服药率为86.7%(313/361)、治疗成功率为86.7%(313/361),观察组分别为96.1%(421/438)、95.9%(420/438)、96.6%(423/438),差异均有统计学意义(P<0.01)。观察组不同管理模式下按时复查率、规律服药率及治疗成功率比较,差异均无统计学意义(P>0.05)。结论采取以患者需求为基础的肺结核综合治疗管理模式可提高患者治疗依从性及治疗成功率,有利于患者的有效和规范化管理。

Objective To evaluate the application of demand - based mode of tuberculosis （TB） comprehensive treatment and management. Methods A total of 875 TB patients were divided into groups control （ n = 415, newly - registered in the year of 2006） , observation （ n = 460, newly - registered in 2009 ）. Control group took the mode of family - steering ther- apy and management; Observation group took mode of demand - based comprehensive therapy and management. The rates of timely review, regular medication and treatment success were compared between the two groups. Results In control group the rates of timely review, regular medication, treatment success were 88. 1% （318/361）, 86. 7% （313/361）, 86. 7% （313/ 361）, respectively, and in observation group 96. 1% （421/438）, 95.9% （420/438）, 96. 6% （423/438）, respectively, the differences were significant （ P 〈 0. 01 ）. No difference was noted between different modes in observation group （ P 〉 0. 05 ）. Conclusion Demand - based comprehensive TB treatment and management mode, improving patients＇compliance and success rate, is conducive to effective and standardized management.