结核病与肺部健康杂志 ›› 2014, Vol. 3 ›› Issue (1): 35-39.doi: 10.3969/j.issn.2095-3755.2014.01.008

• 论著 • 上一篇    下一篇

我国乡村医生结核病预防控制工作的研究现状分析

王吉春,宋渝丹,邢进,赖钰基,赵飞,樊海英,耿梦杰,何广学   

  1. 102206 北京,中国疾病预防控制中心科技处(王吉春、何广学);中国疾病预防控制中心结核病预防控制中心国际合作与研究部[宋渝丹(北京协和医学院公共卫生学院在读研究生)、赵飞、樊海英、耿梦杰];中国疾病预防控制中心结核病预防控制中心患者关怀部(赖钰基);河南省疾病预防控制中心结核病预防控制所(邢进)宋渝丹与王吉春在本项工作中具有同等贡献 为并列第一作者
  • 收稿日期:2013-06-26 出版日期:2014-03-30 发布日期:2014-03-30
  • 通信作者: 何广学,Email:hegx@chinacdc.cn
  • 基金资助:
    中美新发与再发传染病合作项目(2009-16)

Research status analysis of tuberculosis prevention and control work of village doctors in China

WANG Ji-chun*,SONG Yu-dan, XING Jin,LAI Yu-ji,ZHAO Fei,FAN Hai-ying,GENG Meng-jie,HE Guang-xue   

  1. *Division of Science and Technology, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2013-06-26 Online:2014-03-30 Published:2014-03-30
  • Contact: HE Guang-xue,Email: hegx@chinacdc.cn

摘要: 目的了解目前关于我国乡村医生结核病预防控制方面的研究现况。方法采用文献综述的方法,中文检索词为“乡村医生和结核病”;英文检索词为 “village doctors”和“tuberculosis”,或“rural doctors”和“tuberculosis”,分别在中文数据库CNKI(中国期刊全文数据库)、万方数据库和外文数据库PubMed中检索查阅相关文献。共检索到448篇文献,剔除新闻、书信、评论、社论、科普信息等文章,剔除重复或与乡村医生结核病预防控制方面无关的文章,共纳入24篇文献。从乡村医生发现结核病患者、对肺结核患者的管理、结核病相关知识的知晓情况、激励政策、健康教育工作等5个方面对文献进行分类归纳。结果绝大部分文献采用调查研究,1篇文献对现阶段我国乡村医生发现可疑结核病症状者的方式进行了综述。在评价乡村医生结核病防治(简称“结防”)知识培训效果时,1篇采用培训前后对比研究,1篇采用了社区干预试验。纳入的文献只有2篇来源于省级经费,有13篇来源于全球基金等国际合作项目。结论目前研究显示我国乡村医生发现可疑结核病症状者水平不高,对肺结核患者的管理水平低。应加强对乡村医生结核病预防控制工作经费投入和重视,开展乡村医生结核分枝杆菌感染和结核病患病的研究等。

Abstract: Objective To understand the research status of TB prevention and control work of village doctors in China.Methods A literature review method was used to search paper with key words of “village doctors”, “tuberculosis” or “rural doctors”,“tuberculosis” from CNKI and PubMed, 448 literatures were retrieved. News, letters, comments, editorials, information science articles were excluded and duplicates or articles unrelated to tuberculosis prevention and control of rural doctors were stripped out. Twenty-four articles were enrolled eventually. We sort those articles from village doctor’s discovery and management of TB patients, the awareness of TB related knowledge of village doctors, incentive policy, and health education.Results Most of the articles used survey methods. An article reviewed how village doctors detect suspicious TB patients. An article used the comparison study to evaluate TB knowledge training effect of village doctors, while an article used community intervention trial. In the included articles, only two from provincial funds supported projects, 13 from the Global Fund and other international cooperation projects.Conclusion Current research reveals that the discovery of suspect TB patients and TB patients management are low for village doctors. We should strengthen the funding input and attention to village doctors. It’s necessary to study the situation of TB infection and TB prevalence of village doctors.