山东省老年肺结核病人诊疗情况调查

目的 了解现阶段山东省老年肺结核病人的诊疗情况,分析存在的问题.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,采取面对面方式对登记确诊的332例老年肺结核病人进行访谈式调查.结果 78.6%(261人)的病人初次就诊时有咳嗽症状,33.7%(112人)的病人初次就诊单位为村卫生室,45.8%(152人)的病人初次就诊时被误诊,31.0%(103人)的病人就诊延迟,77.7%(258人)的病人在县级结核病防治机构确诊,25.8%(69人)的病人确诊延迟,91.0%(302人)的病人能定期取药,88.0%(292人)的病人能定期复查.结论 老年肺结核病人初次就诊时多有咳嗽、咳痰、胸闷及气短症状,极易被误诊.半数左右的病人初次就诊选择村卫生室或乡镇卫生院,大部分病人由结核病防治机构确诊,部分病人发生就诊延迟或确诊延迟现象.

Diagnosis and treatment of elderly tuberculosis patients in Shandong province

Objective To learn the diagnosis and treatment of elderly tuberculosis(TB)patients in Shandong province and to analyze the influence factors.Methods The sample was randomly chosen with cluster sampling and 332 confirmed elderly TB patients were interviewed with a self-made questionnaire.Results Among all patients,78.6% (261/332) had cough symptom when they had initial treatment;33.7% (112/332) had their initial treatment at village clinics;45.8% (152/332) were misdiagnosed when they sought fast medical treatment; 31.0% (103/332) had delayed treatment;77.7% (258/332) got their confirmed diagnosis at TB prevention and control agency at country level;25.8% (69/332) had de-layed diagnosis;91.0% (302/332) took the medicine regularly;88.0% (292/332) visited doctors regularly for examina-tion.Condusion The elderly TB patients are frequently misdiagnosed at their initial treatment.Nearly half of elderly pa-tients chose village clinics or township hospitals for their initial treatment.Most of the patients are eventually diagnosed at tu-berculosis control institutions.Some of the padents have delayed treatment or diagnosis.