福建省结核病诊治延迟相关因素分析

目的　通过结核病社会评价探讨结核病诊治延迟的相关因素,为提高病人发现率提供科学依据。方法 采用定性研究和定量研究相结合的方法,对3个县肺结核病人、可疑症状者和社区居民进行调查。结果 3个县中,26.4%的病人存在就诊延迟。患者自认为病情轻(54.4%)和经济困难(33.3%)是主要原因,老年人及不知道结防机构和免费诊疗政策是主要的影响因素。59.9%的病人存在确诊延迟,病人确诊前就诊次数多是主要影响因素。96.3%的病人在确诊后1周内接受治疗。结论 减少病人就诊、确诊延迟措施:一是要加强农村结防知识宣传力度,扩大覆盖面;二是加强乡村医生结防技术培训;三是要特别关注老年人和妇女。

Analysis on the correlated factors of delay in tuberculosis diagnosis and treatment in Fujian province

Objective To provide the scientific basis to improve case detection rate through evaluation on the correlated factors of delay in tuberculosis diagnosis and treatment with tuberculosis social assessment. Methods Quantitative and qualitative combined analysis in three counties were adopted.Cases,suspects and community residents were investigated. Results 26.4% of cases delayed to diagnosis in these counties.The major reasons were,54.4% of cases realized it is light of their situation,33.3%of cases were poor.Agedness and without knowledge of tuberculosis control institute and the policies of free diagnosis and treatment were the main factors.59.9% of cases delayed to be confirmed tuberculosis.Too many times for diagnosis before firm diagnosis was main factor.96.3% of cases were firm diagnosed took treatment within one week. Conclusions in order to reduce delay in tuberculosis diagnosis and treatment it is essential to strengthen health education in county to improve its cover rate,train the doctors on tuberculosis technique in village level,and pay attention to elcler and women.