本文選題：耐多藥結(jié)肺核 + 結(jié)核病知識(shí)知曉率�。� 參考：《中南大學(xué)》2013年碩士論文

【摘要】：目的：本次研究采用定量研究與定性研究相結(jié)合的方法,對(duì)耐多藥肺結(jié)核患者進(jìn)行問卷調(diào)查和深入訪談,了解耐多藥肺結(jié)核患者治療依從性的情況,分析影響患者依從性的影響因素,探討干預(yù)策略,為今后提高結(jié)核病患者治療依從性提供科學(xué)的、可靠的依據(jù)。 方法：采用定量研究與定性研究相結(jié)合方法。采用自行設(shè)計(jì)的調(diào)查問卷對(duì)研究對(duì)象的一般情況、結(jié)核病知識(shí)知曉率、依從性情況進(jìn)行調(diào)查,以客觀描述和主要因素絕對(duì)數(shù)、均數(shù)、構(gòu)成比、卡方檢驗(yàn)、多因素logistic回歸等進(jìn)行描述和統(tǒng)計(jì)分析,并與全國(guó)總體水平或國(guó)內(nèi)其他地區(qū)進(jìn)行比較。 結(jié)果： 1.一般情況：本次調(diào)查的研究對(duì)象中,男性102例,女性54例,各占65.4%和34.6%；年齡以45-59歲為主,占65.4%；文化程度以高中為主,占34.6%；職業(yè)以農(nóng)民為主,占28.2%；已婚的占大多數(shù),為69.2%；經(jīng)濟(jì)狀況為一般的占大多數(shù),達(dá)76.3%；來自農(nóng)村的患者占大多數(shù),為53.3%；以復(fù)治的為主,占57.7% 2.調(diào)查對(duì)象的結(jié)核病知識(shí)總知曉率為70.9%,全部知曉率為30.8%。其中5條核心知識(shí)的知曉率分別為：傳播途徑為78.2%,癥狀為87.8%,就診機(jī)構(gòu)為69.9%,國(guó)家免費(fèi)政策為54.5%,治愈可能性為64.1%。 3.60.9%的耐多藥結(jié)肺核患者的依從性良好。 4.耐多藥結(jié)肺核患者中斷治療的原因主要是經(jīng)濟(jì)問題,占62.9%。其次是癥狀緩解,占45.2%。 5.性別、經(jīng)濟(jì)狀況、結(jié)核病知識(shí)知曉率是耐多藥結(jié)肺核患者治療依從性的影響因素。女性耐多藥肺結(jié)核患者的依從性是男性的3.372倍(95%CI：3.012,5.895)：經(jīng)濟(jì)狀況為一般的耐多藥肺核患者的治療依從性是經(jīng)濟(jì)狀況較差的耐多藥結(jié)肺核患者的2.504倍(25%CI：2.272,4.806),經(jīng)濟(jì)狀況較好的耐多藥結(jié)肺核患者的治療依從性是經(jīng)濟(jì)狀況較差耐多藥結(jié)肺核患者的2.640倍(95%CI：2.113,4.713)；結(jié)核病知識(shí)知曉率高的耐多藥結(jié)肺核患者的治療依從性是結(jié)核病知識(shí)知曉率低的耐多藥結(jié)肺核患者的3.687倍(95%CI：2.963,6.614)。 結(jié)論： 1.該結(jié)核病院耐藥結(jié)核病患者治療依從率為60.9% 2.中斷治療的原因主要是經(jīng)濟(jì)問題,其次是癥狀緩解。 3.本次調(diào)查對(duì)象的結(jié)核病知識(shí)總知曉率為70.9%,全部知曉率為30.8%。其中5條核心知識(shí)的知曉率分別為：傳播途徑為78.2%,癥狀為87.8%,就診機(jī)構(gòu)為69.9%,國(guó)家免費(fèi)政策為54.5%,治愈可能性為64.1%。 4.男性、經(jīng)濟(jì)狀況差、結(jié)核病知曉率低是耐藥結(jié)核病患者治療依從性的影響因素。
[Abstract]:Objective: to investigate the compliance of multi-drug resistant pulmonary tuberculosis (MDR-TB) patients with multi-drug resistance pulmonary tuberculosis (MDR-TB) by means of a questionnaire survey and in-depth interview with the method of quantitative and qualitative study.The influencing factors of patients' compliance were analyzed and the intervention strategies were discussed so as to provide a scientific and reliable basis for improving the compliance of tuberculosis patients.Methods: a combination of quantitative and qualitative studies was used.The self-designed questionnaire was used to investigate the general situation of the study subjects, the knowledge awareness rate of tuberculosis, compliance, objective description and main factors, absolute number, mean, composition ratio, chi-square test.Multivariate logistic regression was used to describe and analyze, and compared with the national level or other areas in China.Results:1.General situation: 102 males and 54 females, each accounting for 65.4% and 34.664% respectively; age 45-59 years old, 65.4%; high school education mainly, 34.6%; occupation mainly farmers, 28.2B; married, majority;69.2%; most of the patients were from rural areas, 53.3% of them were from rural areas; 57.7% of the patients were returned to treatment.2.The total awareness rate of tuberculosis knowledge was 70.9%, and the total awareness rate was 30.8%.The awareness rates of five core knowledge were 78.2%, 87.8%, 69.9%, 54.5% and 64.1% respectively.3.60.9% of multidrug resistant patients had good compliance.4.The main reason for interruption of treatment in patients with MDR was economic problems, accounting for 62.9%.The second was symptom relief, accounting for 45. 2%.5.Sex, economic status and knowledge rate of tuberculosis were the influencing factors of treatment compliance in MDR patients.The compliance of female multidrug resistant pulmonary tuberculosis patients is 3.372 times that of men's, 95% CI: 3.012 / 5.895%: the treatment compliance of patients with general economic condition of MDR pulmonary nucleus is 2.504 times of that of poor economic patients with MDR pulmonary nucleus, 25CI2.272% 4.806, and the financial condition of MDR-PNPN patients is better.The therapeutic compliance of patients with multiple drug-resistant pulmonary nuclei was 2.640 times that of patients with poor economic status and that of patients with multiple drug resistance pulmonary nuclei. 95% CI: 2.113% 4.713%; the treatment compliance of patients with multidrug resistance pulmonary nuclei with high knowledge of tuberculosis knowledge was that of patients with low knowledge of tuberculosis.3.687 times as much as 95% CI: 2.963C 6.614%.Conclusion:1.The compliance rate of drug-resistant TB patients in this hospital was 60.9%.2.The main reason for interruption of treatment is economic problems, followed by symptom relief.3.The total awareness rate of tuberculosis knowledge was 70.9%, and the total awareness rate was 30.8%.The awareness rates of five core knowledge were 78.2%, 87.8%, 69.9%, 54.5% and 64.1% respectively.4.Male, poor financial condition and low awareness rate of tuberculosis are the influencing factors of drug-resistant TB patients' treatment compliance.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R521;R197.5

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