预防保健人员首诊负责制对提高FSW人群梅毒治疗依从性作用的研究

Investigation of the Effect of the First Diagnosis Responsibility System in Preventive Health Care on Improvement of Compliance of Syphilis Patients in FSW

目的:研究预防保健人员首诊负责制对提高女性性工作者(female sexual workers,FSW)人群梅毒患者治疗依从性的作用。方法:以在我市性病艾滋病外展项目中确诊的119例FSW梅毒患者为研究对象,随机分为实验组和对照组,实验组69人,实行预防保健人员首诊负责制,参与梅毒治疗中各阶段工作;对照组50人,按常规诊疗及护理模式进行。结果:实验组治疗依从率100%,对照组中4人(8%)未按医嘱进行治疗,3人(6%)放弃治疗,治疗依从率为86%(43/50),两者比较,存在统计学差异(χ2=7.89,P<0.05)。结论:预防保健人员首诊负责制能明显提高FSW梅毒患者治疗的依从性。

Objective：Investigation of the effect of the first diagnosis responsibility system in prevention health care on improving compliance of syphilis patients in female sexual workers （FSW）. Methods：A total of 119 eases of patients with FSW syphilis diagnosed in the STD and AIDS Diagnosis Outreach Projects were randomly divided into the experimental group and the con- trol group. 69 people in the experimental group received care of First Diagnosis Responsibility Sys- tem by preventive health care unit, with the later participating in each stage of syphilis treatment. While fifty people in the control group accepted treatment according to the conventional nursing mode. Results ：The patient compliance rate was 100% in the experimental group. In the control group, 4 people （8%） did not follow doctor＇s advice for treatment, 3 （6%） people abandoned treatment, and the treatment compliance rate was 86% （43/50）. There was a significant statisti- cal difference in the compliance rate between two groups （ X2 = 7.89, P 〈 0. 05 ）. Conclusion： The First Diagnosis Responsibility System in preventive health care unit is able to increase compli- ance of syphilis patients in FSW.