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目的探讨健康促进对流动人口结核病人在诊断和治疗过程中的意义。方法自2007年深圳市福田区实施全球基金流动人口结核病防治项目以来,通过创立“首诊医生健康教育-确诊后主管医生和督导员共同督导并健康教育-治疗过程中三级督导员健康教育”的模式,对辖区流动人口结核病人进行健康促进;客观系统记录“2005-2006年”与“2007-2008年”两阶段的流动人口结核病人的就诊及治疗情况,分析健康促进前后流动人口结核病人在转诊到位率、痰菌阴转率及治疗依从性等方面进行系统比较。结果通过将健康教育工作放在首位及加强督导管理,病人治疗依从性明显提高,流动人口肺结核病人的到位率及初治病人的治愈率、痰菌阴转率等有所提高并保持在较高水平,迁出率逐年下降。结论健康促进在针对流动人口肺结核病患者DOTS实施中起着积极的作用,保证了DOTS策略的有效实施,提高了结核病的治疗效果及管理效果。
Objective To explore the significance of health promotion in the diagnosis and treatment of migrant population with tuberculosis. Methods Since the implementation of the Global Fund Floating Population Tuberculosis Program in Futian District, Shenzhen in 2007, we have established a health education for primary care physicians and co-supervisors and health supervisors after the diagnosis. Health education for tertiary supervisors in the course of treatment Objective: To systematically and objectively record the treatment and treatment of TB patients in the two phases of “2005-2006” and “2007-2008”, and to analyze the health status of TB patients To promote the floating population before and after the TB patients in the referral rate, sputum negative conversion rate and treatment compliance and other aspects of systematic comparison. Results By putting health education first and stepping up supervision and management, the compliance of patients with treatment was significantly improved. The arrival rate of TB patients in floating population and the cure rate of newly diagnosed patients and sputum negative conversion rate were improved and maintained at a relatively low level High level, the relocation rate decreased year by year. Conclusions Health promotion plays an active role in implementing DOTS for migrant pulmonary tuberculosis patients, ensuring the effective implementation of DOTS strategy and improving the curative effect and management effect of tuberculosis.