甘肃省外出肺结核患者完成疗程影响因素分析

目的 探讨影响甘肃省外出肺结核患者完成疗程的因素。 方法 采用问卷调查的方法 ，抽取结核病患病率高、外出肺结核患者较多的22个县进行调查。由专门的调查员负责询问，并根据调查对象的回答进行填写。 结果 外出时带有药品者完成疗程率显著高于外出时未带药者（OR=13.281，95%CI:5.557～31.739）；事先将外出信息告知督导治疗医生的患者完成疗程率显著高于未告知者（OR=5.025，95%CI:2.520～10.020）；异地为继续治疗结核病花费≥500元者完成疗程率要高于＜500元者（OR=2.554，95%CI:1.087～5.999）；患病前接受过有关结核病防治健康教育宣传者完成疗程率高于未接受者（OR=2.200，95%CI:1.112～4.352）。 结论 针对可能的高危人群，应提高警惕，注重加强医患关系沟通，及早发现有意外出的患者；加强健康教育，尽量让患者留在本地安心完成疗程；对于多次劝阻仍坚持外出的患者，为患者带有一定量药品，确保患者在转入地的继续治疗管理工作衔接。

Analysis on the influential factors of completing tuberculosis treatment among patients who had transferred out of Gansu province

Objective To explore the influential factors of completing the treatment for tuberculosis（TB） patients who had transferred out in Gansu province.Methods Selected 22 counties with high TB prevalence rate and with large amount of patients who had transferred out in Gansu province.The investigators were responsible for conducting the survey and filling out the querastionnaires.Results The treatment completion rate was significantly higher among the following groups than their counter parts： patients who had been given with the medications（OR = 13.281,95% CI：5.557~31.739）;patients who had informed information about going out to their physicians.（OR = 5.025,95% CI：2.520~10.020）;the patients who had spent ≥500 RMB for treatments（OR = 2.554,95% CI：1.087~5.999）;the patients who had received health education on TB before infection（OR = 2.200,95% CI：1.112~4.352）.Conclusion To locate patients who intended to shift at an early stage,we should be alert and pay more attention to strengthen the communication between physicians and patients,especially among the high risk groups.It is important to strengthen health education and to improve treatment completion rate when patients were initially diagnosed with TB.Prepare a certain amount of medications for the patients who insisted on shifting to ensure uninterrupted treatment.