湖南省TB/HIV双感患者治疗依从性调查及影响因素分析

Investigation on the Treatment Compliance of TB/HIV Co-infection Patients in Hunan Province and its Influencing Factors

目的了解湖南省双感患者治疗依从性及影响因素,探讨提高双感患者治疗依从性方法。方法采用问卷调查的方法,对2011年9月-2012年12月期间全省161例双感患者进行调查,分析患者的性别、年龄、职业等因素对依从性的影响。结果双感患者的依从性为80.1%,单因素分析显示,依从性的影响因素为民族(P=0.047)、文化程度(P=0.034)、年龄(t=-2.543,P=0.012)、家庭人口数(t=-2.260,P=0.025)、家庭年人均收入(t=2.258,P=0.025)、居住地到抗结核治疗机构距离(t=-2.672,P=0.008);多因素分析结果显示,年龄大(OR=1.037)、居住地到抗结核治疗机构距离远(OR=1.020)是影响依从性的危险因素。结论要增加双感患者治疗依从性,应重视患者的健康教育,适当为贫困患者适当提供补助。

Objective To investigate the treatment compliance of TB/HIV co-infection patients in Hunan province and to analyze its influencing factors,so as to explore the effective approaches to improve the patients＇ treatment compliance.Methods Questionnaire survey was conducted among 161 TB/HIV co-infection patients from September 2011 to December 2012.The impacts of the patients＇ gender,age,occupation and other factors on their treatment compliance were analyzed.Results The treatment compliance of TB/HIV co-infection patients was 80.1％.Univariate analysis showed that ethnicity,culture,age,family number,average family income and distance from residence to anti-TB treatment facility had significant impacts on TB/HIV co-infection patients＇ compliance （P ＜ 0.05）.Multivariate analysis showed that age （OR =1.037） and distance from residence to anti-TB treatment facility （OR =1.020） were risk factors influencing the treatment compliance （P ＜ 0.05）.Conclusions To increase the treatment compliance of TB/HIV co-infection patients,health education should be paid more attention and appropriate assistance for poor patients should be provided.