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目的:分析梅毒患者延迟诊断的现状及其相关因素。方法:采用横断面研究方法对2013年4月至2014年4月来山东省皮肤病医院门诊就诊的梅毒患者进行问卷调查,分析梅毒患者延迟诊断时间及其影响因素。结果:185例患者平均就医延迟为226天(16~1850天)。男性患者平均延迟时间为177天,女性288天;已婚患者延迟为246天,未婚人群就诊延迟时间为177天;教师延迟就医时间最短,平均时间为111天。农民就诊延迟时间最长,为424天;城区患者平均延迟时间为180天,远低于农村地区患者(381天);一期梅毒平均总延迟时间为43天,二期为85天,隐性梅毒为518天;经配偶感染的患者延迟时间为282天,因商业性接触而感染梅毒患者延迟时间为204天,非商业性接触为207天。梅毒患者就医延迟在不同性别、职业、居住地区、梅毒分期以及感染源之间,其延迟就诊存在差异。结论:女性患者、农民、农村地区、隐性梅毒都是导致患者延迟就医的影响因素。
Objective: To analyze the status of delayed diagnosis of syphilis and its related factors. Methods: A cross-sectional study was conducted on a questionnaire survey of syphilis patients from Shandong Provincial Dermatology Hospital from April 2013 to April 2014 to analyze the delay of syphilis diagnosis and its influencing factors. Results: The average medical visit delay in 185 patients was 226 days (16 to 1850 days). The average delay for male patients was 177 days and that for women was 288 days. The delay for married patients was 246 days and that for unmarried persons was 177 days. The shortest time for teachers to seek medical treatment was delayed with a mean time of 111 days. The longest delay for peasants visiting was 424 days; the average delay for urban patients was 180 days, far lower than that in rural areas (381 days); the average total delay of syphilis in first phase was 43 days and the second was 85 days The syphilis was 518 days; the spouse-infected patient had a delay of 282 days; the syphilis infection due to commercial contact was 204 days with a non-commercial exposure of 207 days. Syphilis patients delayed treatment in different gender, occupation, living area, syphilis staging and the source of infection, the delay in treatment there are differences. Conclusion: Female patients, peasants, rural areas, and latent syphilis all are the influencing factors for delayed medical treatment.