2017年青岛市男性强制隔离戒毒人员肺结核相关情况调查

Survey on tuberculosis related knowledge in men with compulsory isolation drug detoxification,Qingdao city,2017

目的了解并提高强制隔离戒毒人员结核病知识知晓率,筛查结核病高危人员,探讨强制隔离戒毒所结核病的管理方法。方法 2017年9月对青岛市强制隔离戒毒所全部戒毒人员进行强制隔离戒毒人员实施健康教育,于教育前后分别进行问卷调查,比较知晓率差异,并进行结核病筛查以发现高危人员。结果健康教育干预后所有知识点正确率均明显提高,除"肺结核的典型症状"外,其他问题知晓率均达到90%以上,与干预前对比有显著差异(P<0.01)。经筛查605名戒毒人员,TB-SA阴性571人,占94.38%,阳性24人,占3.97%,结合胸透、胸片检查异常者共确定高度可疑人员8人,最终诊断结果与结核相关者6人,虽然PPD实验均不同程度提示阳性或者强阳性,但TB-SA检测结果均为阴性,且无人处于结核活动期。结论健康教育可明显提高戒毒人员结核病知识知晓率,多种方法联合应用可提高结核病筛查力度。

Objective To understand the awareness rate of tuberculosis among compulsory isolated addicts,and explore the screening method for tuberculosis in compulsory detoxification center. Methods Health education was performed for compulsory isolated addicts.After education,aquestionnaire survey was carried out,and the awareness rate was compared.Additionally,tuberculosis was screened for detecting high-risk addicts. Results After health education,the correct rate of all knowledge obviously improved.In addition to the typical symptoms of tuberculosis,the knowledge rate of other problems can reach more than 90%,which was significantly different from the pre-intervention comparison（P〈0.01）.A total of 605 addicts were screened,revealing negative TB-SA in 571（94.38%）addicts and positive TB-SA in 24（3.97%）addicts.Afterwards,chest X-ray examination confirmed a total of 8 highly suspected addicts.Final diagnosis results showed 6 tuberculosis-related addicts.Although these 6 addicts showed positive or strongly positive results at different degrees in PPD,TB-SA results were all negative,and no one was in the active phase of tuberculosis. ConclusionHealth education can significantly improve the awareness rate of tuberculosis among compulsory isolated addicts.The initial screening of tuberculosis can be effectively improved with the combination of several examination methods.