肺结核患者确诊延迟及影响因素分析

目的 调查肺结核患者确诊延迟现状，探讨其影响因素，为改善肺结核患者确诊延迟提供政策依据。方法 随机抽取山东省6个县(区)819名肺结核患者进行问卷调查，对确诊延迟的肺结核患者进行影响因素分析。结果 参与调查的819名肺结核患者中，确诊延迟者173人，占21.12%；确诊未延迟者646人，占78.88%。首诊机构是肺结核患者确诊延迟的影响因素(P<0.05)。结论 需采取综合干预措施减少肺结核患者确诊延迟率。

Analysis on diagnostic delay of tuberculosis patients and its influencing factors

Objective To investigate the situation of diagnostic delay of tuberculosis patients and to explore its influencing factors in order to provide policy bases for improving the diagnostic delay. Methods 819 cases of tuberculosis patients were sampled from six cities of Shandong Province randomly, and the data was collected by questionnaire, which was analyzed by influencing factors test. Results For the 819 cases of tuberculosis patients who were surveyed, 173(21.12%) of them were diagnosed delayed, and 643(78.88%) were not delayed. First diagnosis mechanism was the main cause that had something to do with the diagnostic delay of tuberculosis patients(P<0.05). Conclusion Comprehensive measures should be taken to reduce the proportion of diagnostic delay of tuberculosis patients.