专人宣教及管理对提高活动性肺结核患者治疗依从性的效果观察

The effect observation of improve the patients with active tuberculosis treatment adherence with specialist education and management

目的探讨专人宣教及管理对提高肺结核患者对治疗方案执行力度的影响,以达到提高治疗成功率,从而提高治愈率的目的。方法按半随机抽样方法将2013年玉林市区登记的活动性肺结核患者分成干预治疗组和常规治疗对照组,对两组患者的治疗成功率进行分析评价,并对治疗效果进行推广评价。结果活动性肺结核患者的成功治疗率与性别、年龄、民族、职业、户籍、患者来源及诊断结果差异均无统计学意义(P>0.05);但干预治疗组的成功治疗率、对治疗方案及对宣教措施的执行力度好,分别为90.11%、93.04%及92.67%,4次及以上督导的成功治疗率为92.13%,与常规治疗组比较差异均有统计学意义(P<0.05)。结论开展专人宣教及管理患者的治疗成功率可以达到92.13%,能显著提高肺结核患者对治疗方案的执行力度,从而有效达到提高治愈率的目的。

Objective To explore the influence of improve TB patients for treatment of specialist education and management, to improve the treatment success, the purpose of to improve the cure rate. Methods As a ran- dom sampling method, divided into intervention group and the conventional treatment control group of active tuberculosis cases of Yulin city is registered in 2013, analysis and evaluation of treatment success rate of 2 groups of patients, and evaluate therapeutic effect for promoting. Results No statistical association of the suc- cessful treatment of active tuberculosis patients with the national professional household register patients age and gender origin and diagnosis （ P 〉 0.05 ） ; But the successful treatment and the level of enforcement of the treatment plan and mission measures respectively is 90. 11% , 93.04% and 92.67% , the successful treat- ment of the supervision of the four times or more is 92. 13%, there are significant differences of statistically in personnel to carry out the education and management of patients. （P 〈 0.05 ） . Conclusions Treatment suc- cess can be achieved to 92. 13 % of personnel to carry out the education and management of patients, can sig- nificantly improve the degree of execution, to purpose of effectively to improve the cure rate for treatment of pulmonary tuberculosis patients.