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目的了解耐多药肺结核病人治疗依从性的情况及影响因素,探讨干预对策。方法调查湖南省结核病医院2006年10月-2008年3月收治的110例耐多药肺结核病人,了解规律治疗情况及影响因素。结果110例耐多药肺结核病人均为复治,其中男性78例(70.9%),女性32例(29.1%),年龄18~70岁。病人来自农村102例(92.7%),城镇8例(7.3%)。依从性良好的21例(19.1%),依从性差的89例(80.9%)。治疗依从性与病人的文化程度、对该病的知晓情况、病情和家庭经济状况等因素有关。结论应重视耐多药肺结核病人的治疗管理工作,采取综合、有效的干预对策,提高治疗依从性。
Objective To understand the treatment compliance and influencing factors of MDR-TB patients and to explore intervention strategies. Methods A total of 110 MDR-TB patients admitted to the Tuberculosis Hospital of Hunan Province from October 2006 to March 2008 were investigated to understand the regular treatment and its influencing factors. Results All 110 MDR-TB patients were retreatment, including 78 males (70.9%) and 32 females (29.1%), aged 18-70 years. There were 102 patients (92.7%) from rural areas and 8 towns (7.3%). Compliance was good in 21 cases (19.1%), poor compliance in 89 cases (80.9%). Treatment compliance and the patient’s educational level, the disease awareness, illness and family economic status and other factors. Conclusion The treatment and management of MDR-TB patients should be emphasized, and comprehensive and effective intervention measures should be taken to improve the treatment adherence.