结核病与肺部健康杂志 ›› 2013, Vol. 2 ›› Issue (2): 115-118.

• 论著 • 上一篇    下一篇

专科医院结核病患者依从性影响因素多元统计分析

王旭,陈世强   

  1. 300041 天津市结核病控制中心研究室
  • 收稿日期:2013-01-27 出版日期:2013-06-30 发布日期:2013-06-30

Multivariate statistical analysis on treatment compliance of tuberculosis patients in special hospital

WANG Xu,CHEN Shi-qiang   

  1. Division of Research,Tianjin Center for Disease Control and Prevention,Tianjin 300041,China
  • Received:2013-01-27 Online:2013-06-30 Published:2013-06-30

摘要: 目的了解专科医院肺结核患者治疗依从性的影响因素,探讨适合专科医院特点的结核病治疗管理措施,提高患者依从性。方法通过专业人员电话询问、填写问卷调查表格的方式调查专科医院结核病患者100例,共收集到有效调查问卷100份,主要项目一共有三项,包括一般情况、诊疗信息及健康教育信息,应用logistic回归法对患者依从性的影响因素进行分析。结果单因素logistic回归分析结果发现文化程度(χ2=7.335,P=0.007)、婚姻状况(χ2=10.576,P=0.005)、医生对结核病防治知识的宣传教育(简称“宣教”)(χ2=7.055,P=0.008)3个因素差异有统计学意义。多因素logistic回归分析结果显示婚姻状况(Wald χ2=4.765、OR=0.133,95%CI:0.022~0.814,P=0.029)和医生宣教(Wald χ2=5.568,OR=0.127,95%CI:0.023~0.705,P=0.018)差异有统计学意义。结论依从性取决于诸多因素,专科医院应加强结核病知识的健康教育并重视家庭成员对结核病患者的支持与监督,可以提高治疗依从性。

Abstract: Objective To explore the influencing factors of treatment compliance of tuberculosis(TB)cases in special hospital,and to explore the appropriate treatment and management measures in order to improve the comp-liance of TB patients in special hospital.Methods Questionnaire survey by telephone was used to investigate 100 TB patients in special hospital, 100 effective questionnaires were collected which includes 3 parts:basic information,diagnostic and treatment information and health education information. Logistic regression was used to analyze the influencing factors of the compliance.Results The result of single factor logistic regression showed that education level(χ2=7.335,P=0.007),marital status(χ2=10.576,P=0.005),and health education conducted by doctors(χ2=7.055,P=0.008)had significant differences(P<0.05). Multifactor logistic regression analysis showed that marital status(Wald χ2=4.765,OR=0.133,95%CI=0.022~0.814,P=0.029)and health education(Wald χ2=5.568,OR=0.127,95%CI=0.023~0.705,P=0.018)had significant differences(P<0.05).Conclusion As treatment compliance depends on many factors,the special hospital should strengthen TB health education and attach great importance to the support provided by family members to tuberculosis patients,which will eventually improve the treatment compliance.