Journal of Tuberculosis and Lung Health ›› 2020, Vol. 9 ›› Issue (1): 72-78.doi: 10.3969/j.issn.2095-3755.2020.01.016
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JIANG Jing, SUN De-bin, LIU Jia-qi, WANG Liang, GAO Jing-jing, HAN Song, ZHANG Ying()
Received:
2019-12-31
Online:
2020-03-30
Published:
2020-04-17
Contact:
ZHANG Ying
E-mail:zhangyingsymc@126.com
JIANG Jing, SUN De-bin, LIU Jia-qi, WANG Liang, GAO Jing-jing, HAN Song, ZHANG Ying. Analysis of visit delay and its risk factors among 205 hospitalized tuberculosis patients in Shenyang[J]. Journal of Tuberculosis and Lung Health , 2020, 9(1): 72-78. doi: 10.3969/j.issn.2095-3755.2020.01.016
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URL: http://www.jtbld.cn/EN/10.3969/j.issn.2095-3755.2020.01.016
特征 | 合计 (205例) | 就诊延迟组 (110例) | 非就诊延迟组 (95例) | χ2值 | P值 |
---|---|---|---|---|---|
年龄组(岁) | 3.348 | 0.187 | |||
<30 | 53(25.9) | 32(28.1) | 21(22.1) | ||
30~ | 87(42.5) | 29(26.4) | 36(37.9) | ||
>60 | 65(31.6) | 49(44.5) | 38(40.0) | ||
性别 | 1.077 | 0.299 | |||
男 | 137(66.8) | 77(70.0) | 60(63.2) | ||
女 | 68(33.2) | 33(30.0) | 35(36.8) | ||
婚姻状况 | 1.295 | 0.255 | |||
已婚 | 143(69.8) | 73(66.4) | 70(73.7) | ||
未婚 | 62(30.2) | 37(36.6) | 25(26.3) | ||
BMI | 5.784 | 0.055 | |||
<18.5 | 37(18.0) | 21(19.1) | 16(16.8) | ||
18.5~ | 119(58.1) | 70(63.6) | 49(51.6) | ||
≥23.5 | 499(23.9) | 19(17.3) | 30(31.6) | ||
是否吸烟 | 2.517 | 0.113 | |||
是 | 92(44.9) | 55(50.0) | 37(38.9) | ||
否 | 113(55.1) | 55(50.0) | 58(61.1) | ||
是否饮酒 | 10.244 | 0.001 | |||
是 | 107(52.2) | 46(41.8) | 61(64.2) | ||
否 | 98(47.8) | 64(58.2) | 34(35.8) | ||
文化程度 | 4.357 | 0.113 | |||
小学及以下 | 105(51.2) | 56(50.9) | 49(51.6) | ||
初中 | 37(18.0) | 25(22.7) | 12(12.6) | ||
高中及以上 | 63(30.8) | 29(26.4) | 34(35.8) | ||
职业 | 0.000 | 0.992 | |||
农民 | 28(13.7) | 15(13.6) | 13(13.7) | ||
非农民 | 177(86.3) | 95(86.4) | 82(86.3) |
特征 | 合计 (205例) | 就诊延迟组 (110例) | 非就诊延迟组 (95例) | χ2值 | P值 |
---|---|---|---|---|---|
患者来源 | 0.232 | 0.630 | |||
沈阳市 | 115(56.1) | 60(54.5) | 55(57.9) | ||
非沈阳市 | 90(43.9) | 50(45.5) | 40(42.1) | ||
就医距离 | 6.306 | 0.012 | |||
近 | 23(11.2) | 18(16.4) | 5(5.3) | ||
远 | 182(88.8) | 92(83.6) | 90(94.7) | ||
流动人口 | 0.045 | 0.832 | |||
是 | 27(13.2) | 15(13.6) | 12(12.6) | ||
否 | 178(86.8) | 95(86.4) | 83(87.4) | ||
首诊机构 | 6.282 | 0.043 | |||
乡镇卫生院/社区 | 12(5.9) | 8(7.3) | 4(4.2) | ||
县级以上综合医院 | 106(51.7) | 48(43.6) | 58(61.1) | ||
结核病防治所 | 87(42.4) | 54(49.1) | 33(34.7) | ||
疾病严重程度 | 29.631 | 0.000 | |||
较轻 | 105(51.2) | 42(38.2) | 63(66.3) | ||
一般 | 63(30.8) | 34(30.9) | 29(30.5) | ||
严重 | 37(18.0) | 34(30.9) | 3(3.2) | ||
因症就诊 | 4.300 | 0.038 | |||
是 | 67(32.7) | 54(49.1) | 33(34.7) | ||
否 | 118(67.3) | 56(50.9) | 62(65.3) | ||
治疗类型 | 6.971 | 0.008 | |||
初治 | 118(57.6) | 54(49.1) | 64(67.4) | ||
复治 | 87(42.4) | 56(50.9) | 31(32.6) | ||
是否耐药 | 0.371 | 0.830 | |||
是 | 22(10.7) | 11(10.0) | 11(11.6) | ||
否 | 101(49.3) | 53(48.2) | 48(50.5) | ||
不清楚 | 82(40.0) | 46(48.8) | 36(37.9) | ||
痰涂片 | 0.876 | 0.645 | |||
涂阳 | 32(15.6) | 15(13.6) | 17(17.9) | ||
涂阴 | 135(65.9) | 73(66.4) | 62(65.3) | ||
未查 | 38(18.5) | 22(20.0) | 16(16.8) | ||
有无空洞 | 1.271 | 0.260 | |||
有 | 80(39.0) | 39(35.5) | 41(43.2) | ||
无 | 125(61.0) | 71(64.5) | 54(56.8) | ||
费别 | 3.523 | 0.061 | |||
医保 | 201(98.0) | 106(96.4) | 95(100.0) | ||
自费 | 4(2.0) | 4(3.6) | 0(0.0) |
结核病核心 知识 | 患者 例数 | 延迟组 (110例) | 非延迟组 (95例) | χ2值 | P值 |
---|---|---|---|---|---|
传播途径 | 1.295 | 0.255 | |||
正确 | 143 | 73(66.4) | 70(73.7) | ||
错误 | 62 | 37(33.6) | 25(26.3) | ||
严重性 | 0.801 | 0.371 | |||
正确 | 147 | 76(69.1) | 71(74.7) | ||
错误 | 58 | 34(30.9) | 24(25.3) | ||
传染性 | 1.069 | 0.310 | |||
正确 | 155 | 80(72.7) | 75(78.9) | ||
错误 | 50 | 30(27.3) | 20(21.1) | ||
可疑症状 | 0.009 | 0.923 | |||
正确 | 156 | 84(76.4) | 72(75.8) | ||
错误 | 49 | 26(23.6) | 23(24.2) | ||
就诊机构 | 0.314 | 0.575 | |||
正确 | 156 | 82(74.5) | 74(77.9) | ||
错误 | 49 | 28(25.5) | 21(22.1) | ||
了解免费政策 | 0.014 | 0.907 | |||
正确 | 98 | 53(48.2) | 45(47.4) | ||
错误 | 107 | 57(51.8) | 50(52.6) | ||
治疗情况 | 0.227 | 0.633 | |||
正确 | 118 | 65(59.1) | 53(55.8) | ||
错误 | 87 | 45(40.9) | 42(44.2) | ||
预防措施 | 5.212 | 0.022 | |||
正确 | 178 | 90(81.8) | 88(92.6) | ||
错误 | 27 | 20(18.2) | 7(7.4) |
因素 | 赋值 | 因素 | 赋值 | ||
---|---|---|---|---|---|
就诊延迟 | <14d=0;≥14d=1 | 耐药 | 是=0;否=1;不清楚=2 | ||
痰涂片 | 涂阳=0;涂阴=1;未查=2 | ||||
年龄组 | <30岁=0;30~岁=1;>60岁=2 | ||||
空洞 | 有=0;无=1 | ||||
性别 | 男=0;女=1 | ||||
费别 | 医保=0;自费=1 | ||||
婚姻状况 | 已婚=0;未婚=1 | ||||
首诊机构 | |||||
BMI | <18.5=0;18.5~=1;≥23.5=2 | ||||
乡镇卫生院/社区 | 乡镇卫生院/社区=1;其他=0 | ||||
吸烟 | 不吸烟=0;吸烟=1 | ||||
县级以上综合医院 | 县级以上综合医院=1;其他=0 | ||||
饮酒 | 不饮酒=0;饮酒=1 | ||||
结核病防治所 | 结核病防治所=1;其他=0 | ||||
文化程度 | 小学及以下=0;初中=1;高中及以上=2 | ||||
传播途径 | 正确=0;错误=1 | ||||
职业 | 非农民=0;农民=1 | ||||
严重性 | 正确=0;错误=1 | ||||
患者来源 | 沈阳市=0;非沈阳市=1 | ||||
传染性 | 正确=0;错误=1 | ||||
就医距离 | 近=0;远=1 | ||||
可疑症状 | 正确=0;错误=1 | ||||
流动人口 | 否=0;是=1 | ||||
就诊机构 | 正确=0;错误=1 | ||||
严重程度 | 严重=0;一般/轻症=1 | ||||
了解免费政策 | 正确=0;错误=1 | ||||
因症就诊 | 是=0;否=1 | ||||
治疗情况 | 正确=0;错误=1 | ||||
预防措施 | 正确=0;错误=1 | ||||
治疗类型 | 复治=0;初治=1 |
[1] | 邓亚利, 周玉兰, 冉建朝 , 等. 2005—2015年新疆生产建设兵团第三师肺结核患者就诊延迟分析. 现代预防医学, 2018,45(19):3589-3592. |
[2] | Cai J, Wang X, Ma A , et al. Factors associated with patient and provider delays for tuberculosis diagnosis and treatment in Asia: a systematic review and meta-analysis. PLoS One, 2015,10(3):e0120088. |
[3] | World Health Organization. Global tuberculosis report 2019. Geneva: World Health Organization, 2019. |
[4] | 全国第五次结核病流行病学抽样调查技术指导组. , 全国第五次结核病流行病学抽样调查办公室. 2010年全国第五次结核病流行病学抽样调查报告. 中国防痨杂志, 2012,34(8):485-508. |
[5] | 全国结核病流行病学抽样调查技术指导组. , 全国结核病流行病学抽样调查办公室. 2000年全国结核病流行病学抽样调查报告. 中国防痨杂志, 2002,24(2):65-107. |
[6] | Ward HA, Marciniuk DD, Pahwa P , et al. Extent of pulmonary tuberculosis in patients diagnosed by active compared to passive case finding. Int J Tuberc Lung Dis, 2004,8(5):593-597. |
[7] | 中华人民共和国国家卫生和计划生育委员会. WS 288—2017肺结核诊断. 2017- 11- 09. |
[8] | 中华人民共和国卫生部结核病控制项目办公室. 世界银行贷款中国结核病控制项目工作手册.2版. 北京: 卫生部结核病控制项目办公室, 1995: 22-23. |
[9] | 桓世彤, 张本, 严非 , 等. 农村贫困地区肺结核患者就诊延迟及其原因分析. 中国防痨杂志, 2007,29(1):70-73. |
[10] | 张文龙, 李朝文 . 陕西省西安市临潼区802例农村肺结核病人就诊和确诊延迟分析. 中国防痨杂志, 2008,30(4):373-375. |
[11] | 陈松华, 王晓萌, 钟节鸣 , 等. 肺结核病新患者发现延误及影响因素分析. 中国公共卫生, 2013,29(4):481-484. |
[12] | Peri AM, Bernasconi DP, Galizzi N , et al. Determinants of patient and health care services delays for tuberculosis diagnosis in Italy: a cross-sectional observational study. BMC Infect Dis, 2018,18(1):690. |
[13] | 魏建军, 曾令霞 . 2014—2017年陕西汉中市肺结核患者就诊延迟及影响因素. 公共卫生与预防医学, 2018,29(5):55-58. |
[14] | 景睿, 王美花, 王晓婷 , 等. 济南市肺结核患者就诊延迟及其影响因素分析. 结核病与肺部健康杂志, 2019,8(2):106-110. |
[15] | 王彩琳, 李元军 . 不良生活行为因素对肺结核发病及转归相关性研究进展. 广东医学, 2019,40(22):3230-3233. |
[16] | 李永文, 耿红 . 山东户籍及流动人口肺结核患者就诊延迟现状及影响因素. 中国公共卫生, 2014,30(4):392-395. |
[17] | 唐南, 许琳 . 云南省2005年与2013年涂阳肺结核患者就诊延迟变化分析. 公共卫生与预防医学, 2015,26(2):20-23. |
[18] | 蒋玲, 王黎霞, 黄飞 , 等. 重庆市梁平县肺结核患者就诊延迟及其相关因素分析. 中国防痨杂志, 2014,35(5):341-345. |
[19] | 王荣, 李晨 . 南京市2011—2013年肺结核患者就诊延迟状况及影响因素分析. 中华疾病控制杂志, 2015,19(8):854-856. |
[20] | 曾伟, 凤翀 . 巢湖市新发现涂阳肺结核病人就诊延迟相关因素调查分析. 中华疾病控制杂志, 2011,15(4):306-308. |
[21] | 许婕, 王朝才, 夏愔愔 , 等. 我国高疫情地区主动发现的肺结核患者干预前后接受治疗的意愿及影响因素分析. 中国防痨杂志, 2018,40(10):1099-1109. |
[22] | 薛浩, 刘荣海, 张红军 , 等. 2009—2015年盐城市肺结核患者就诊延迟影响因素分析. 现代预防医学, 2018,45(4):757-760 |
[23] | 林森, 路丽, 杨印 , 等. 415例冀北山区初治肺结核病人就诊延迟原因分析. 实用预防医学, 2012,19(4):541-542. |
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