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村医生发现与督导管理结核病病例现状调查
引用本文:王兴洲,廖唐洪,徐凌忠.村医生发现与督导管理结核病病例现状调查[J].山东大学学报(医学版),2010,48(3):152.
作者姓名:王兴洲  廖唐洪  徐凌忠
作者单位:1. 山东大学公共卫生学院社会医学与卫生管理研究所,济南,250012
2. 江西省人民医院院办,南昌,330006
基金项目:中国疾病预防控制中心全球基金项目实施性研究课题(TB07-008)
摘    要:目的   了解村医生发现与督导管理结核病病例的现状。方法   采用多阶段整群分层随机抽样方法选取样本,使用自制调查问卷,采取面对面询问方式调查。结果   37.6%的村医生发现过可疑肺结核症状者,村医生对结核病病例发现贡献度为74.5%,36.2%的村医生督导过肺结核患者,结核病病例的督导管理率为84.1%,83.0%的村医生对村民和结核患者开展过健康教育。结论    村医生在结核病病例发现与督导中作用未达到预期效果,应加强对村医生的专业培训和对现代结核病控制策略(directly observed treatment, short course, DOTS)的了解,提高村医生的综合素质。

关 键 词:结核,肺  发现  管理  村医生
收稿时间:2009-11-04

Present situation of detection and management of  tuberculosis patients by village doctors
WANG Xing-zhou,LIAO Tang-hong,XU Ling-zhong.Present situation of detection and management of  tuberculosis patients by village doctors[J].Journal of Shandong University:Health Sciences,2010,48(3):152.
Authors:WANG Xing-zhou  LIAO Tang-hong  XU Ling-zhong
Institution:1. Institute of Social Medicine and Health Management, School of Public Health, Shandong University, Jinan 250012, China;  2. Dean′s Office of the Jiangxi Provincial People′s Hospital, Nanchang 330006, China
Abstract:Objective To study the ability of village doctors in tuberculosis(TB) case detection and management.Methods The sample was randomly chosen with the cluster-based sampling method and the subjects were interviewed by using a self-made questionnaire.Results 37.6 % of village doctors had found TB symptoms and suspects;village doctors contributive degree in TB case detection was 74.5%;36.2% of the village doctors had managed TB patients,and TB patients managed degree was 84.1%;83.0% of the village doctors had ed...
Keywords:Tuberculosis  pulmonary  Detection  Management  Village doctor  
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