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目的了解陕西省肺结核患者就诊延迟现况,探索与就诊延迟相关的主要因素。方法从结核病信息管理系统导出陕西省2015年登记的结核病患者个案资料19 319例。采用描述性统计方法,计算就诊延迟率;采用卡方检验分析不同地域、性别、年龄、民族、职业、治疗分类、患者来源、户籍类型的就诊延迟是否有差异,以P<0.05为差异有统计学意义;采用logistic回归模型进行多因素分析,以P<0.05为差异有统计学意义。结果陕西省肺结核患者就诊延迟率为57.7%(11 152/19 319),就诊延迟中位数为19 d。多因素Logistic回归分析结果表明:地域、性别、年龄、治疗分类和患者来源是就诊延迟的影响因素(P<0.05)。女性就诊延迟率是男性患者的1.095倍(OR=1.095,95%CI=1.030~1.164)。复治患者就诊延迟率是初治患者的1.221倍(OR=1.221,95%CI=1.051~1.420)。结论陕西省肺结核患者就诊延迟情况比较严重。应根据就诊延迟的高危人群制定相应措施,积极有效的开展预防干预工作。
Objective To understand the status of postponement of pulmonary tuberculosis patients in Shaanxi Province and to explore the main factors related to delayed treatment. Methods A total of 19 319 cases of TB cases registered in Shaanxi Province in 2015 were derived from TB information management system. Using the descriptive statistics method to calculate the delay rate of the visit; using the chi-square test to analyze whether there is a difference in the treatment delay of different regions, sexes, ages, nationalities, occupations, treatment categories, patient sources and household registration types, with statistics of P <0.05 The significance of learning; using multivariate logistic regression model analysis, P <0.05 was considered statistically significant. Results The delay rate of visiting TB patients in Shaanxi Province was 57.7% (11 152/19 319), and the median delay in visiting was 19 days. Multivariate Logistic regression analysis showed that geographical, gender, age, classification of treatment and source of patients were the influencing factors of delayed treatment (P <0.05). The delay in visiting women was 1.095 times that in men (OR = 1.095, 95% CI = 1.030-1.164). The retreatment rate in retreatment patients was 1.221 times (OR = 1.221, 95% CI = 1.051-1.420). Conclusions The delay of visiting tuberculosis patients in Shaanxi Province is more serious. Corresponding measures should be formulated according to the high-risk population with delayed treatment, and the prevention and intervention work should be actively and effectively carried out.