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目的探索涂阴肺结核患者在县结防医生首诊负责制指导下实施自我治疗管理对治疗依从性的影响。方法研究组对象由县结防医生对患者实施“门诊指导+手册指导+电话指导”的全程管理;对照组对象由家庭成员实施“全程管理”。结果研究组对象连续、规律完成6个月疗程的患者为91%,对照组为78%;研究组对象对治疗期间查痰时间、疗程时间、服药治疗TB的关键行为等正确认知率均高于对照组对象。结论县结防医生对涂阴肺结核病患者实施治疗管理是比较适合患者心理的一种可行的治疗管理模式。
Objective To explore the influence of self-management management of smear-negative pulmonary tuberculosis patients on the treatment compliance under the guidance of the first consultation system of smear-negative tuberculosis doctors. Methods Study group subjects by the county end of the doctor on the implementation of the “outpatient guidance + manual guidance + phone guidance ” of the full management; control group of objects by the family members “full management ”. Results The subjects in study group had 91% of the subjects who completed the 6-month course of therapy regularly and 78% of the control subjects. The correct cognition rates of the sputum examination time, the course of treatment, and the pivotal behaviors of TB in taking medication during the treatment In the control group object. Conclusion It is a feasible treatment management mode suitable for patients’ psychology to carry out treatment and management of patients with smear-negative pulmonary tuberculosis by county end-point doctors.