本文選題：居家化療肺結(jié)核病人　切入點(diǎn)：手機(jī)　出處：《山東大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：肺結(jié)核病(Tuberculosis, TB)是一種嚴(yán)重危害人類健康的慢性呼吸道傳染病。目前世界衛(wèi)生組織提倡的DOTS策略規(guī)定應(yīng)用利福平-營(yíng)養(yǎng)標(biāo)準(zhǔn)療法初次感染病人需要6個(gè)月療程,而復(fù)發(fā)病人需要8個(gè)月的療程。由于醫(yī)院,患者和肺結(jié)核疾病性質(zhì)的原因,住院完成治療全程是不可能的,因此,肺結(jié)核治療療程的大部分時(shí)間是通過(guò)居家化療來(lái)完成的。肺結(jié)核病人治療失敗的主要原因是居家治療過(guò)程中沒(méi)有按照DOTS策略的規(guī)定服藥。有研究表明多種提肺結(jié)核病人服藥依從性的行為和方式聯(lián)合運(yùn)用比只使用單一干預(yù)手段效果顯著。 隨著科學(xué)技術(shù)的進(jìn)步和社會(huì)經(jīng)濟(jì)的發(fā)展,多種提高肺結(jié)核病人服藥依從性的干預(yù)手段都可以通過(guò)手機(jī)和網(wǎng)絡(luò)實(shí)施。手機(jī)和網(wǎng)絡(luò)技術(shù)的應(yīng)用能使多種干預(yù)手段簡(jiǎn)單化,一體化,可以大大提高干預(yù)效率。因此,我們認(rèn)為應(yīng)用手機(jī)和網(wǎng)絡(luò)技術(shù)是目前提高結(jié)核病人服藥依從性的最佳選擇,也是未來(lái)控制和治療結(jié)核病的發(fā)展方向。 為此,本調(diào)查采用分層整群隨機(jī)抽樣的方法,居家化療肺結(jié)核病人選取的是山東省長(zhǎng)清、莒南、章丘、文登、沂水和乳山6個(gè)縣級(jí)市2011年1月1日-2011年12月31日登記的720例病人,對(duì)居家化療肺結(jié)核病病人手機(jī)網(wǎng)絡(luò)利用情況進(jìn)行描述性分析,并結(jié)合專業(yè)知識(shí),對(duì)其影響因素進(jìn)行單因素分析,之后運(yùn)用非條件Logistic回歸模型探尋其影響因素。 本研究發(fā)現(xiàn)此次調(diào)查的居家化療肺結(jié)核病病人受教育程度很低；經(jīng)濟(jì)狀況一般或較差；單因素分析顯示,年齡、教育程度、婚姻狀況、職業(yè)、戶口所在地、醫(yī)療保障、收入、收入來(lái)源與居家化療的肺結(jié)核病人手機(jī)網(wǎng)絡(luò)利用情況相關(guān)；非條件Logistic回歸分析顯示,文盲半文盲、學(xué)齡前兒童教育水平和已婚3個(gè)因素是居家化療肺結(jié)核病人手機(jī)利用率低的獨(dú)立危險(xiǎn)性因素,職業(yè)為工人是居家化療肺結(jié)核病人手機(jī)利用率高的獨(dú)立保護(hù)性因素,文盲半文盲的教育水平是居家化療肺結(jié)核病人網(wǎng)絡(luò)利用率低的獨(dú)立危險(xiǎn)性因素。 本研究認(rèn)為利用短消息服務(wù)與其他干預(yù)手段聯(lián)合應(yīng)用提醒居家化療的肺結(jié)核病人按時(shí)服藥可行性比較大,短消息服務(wù)可以幫助醫(yī)護(hù)人員更好地干預(yù)居家化療的肺結(jié)核病人按時(shí)服藥和接受檢查,進(jìn)一步提高患者治愈率和降低復(fù)發(fā)的可能性。僅靠這一種手段來(lái)幫助居家治療結(jié)核病人提高服藥依從性是遠(yuǎn)遠(yuǎn)不夠的,醫(yī)護(hù)人員也可以借助突飛猛進(jìn)的網(wǎng)絡(luò)技術(shù)資源協(xié)助病人提高服藥依從性。提高居家化療的肺結(jié)核病人服藥依從性的任務(wù)仍然重大而艱巨。相信通過(guò)家庭經(jīng)濟(jì)收入的增長(zhǎng)和教育水平的提高,手機(jī)和網(wǎng)絡(luò)可作為未來(lái)防治肺結(jié)核的新平臺(tái)。
[Abstract]:Tuberculosis tuberculosis (TB) is a chronic respiratory infectious disease that seriously endangers human health. At present, the DOTS strategy advocated by the World Health Organization stipulates that rifampicin-nutrition standard therapy requires a course of treatment of six months for first infected patients. Because of the nature of the hospital, the patient and the tuberculosis, it is impossible to complete the whole course of treatment in the hospital. Most of the time of the course of treatment of pulmonary tuberculosis is completed through home chemotherapy. The main reason for the failure of the treatment of pulmonary tuberculosis patients is that they do not take drugs in accordance with the DOTS strategy in the course of home treatment. Some studies have shown that there are many kinds of pulmonary nodule. The behavior and mode of drug compliance in nuclear patients were more effective than that of single intervention. With the progress of science and technology and the development of social economy, many kinds of interventions to improve the compliance of tuberculosis patients can be implemented through mobile phone and network. The application of mobile phone and network technology can simplify and integrate many kinds of interventions. Therefore, we think that the application of mobile phone and network technology is the best choice to improve the compliance of TB patients, and it is also the development direction of TB control and treatment in the future. For this reason, this investigation adopts the stratified cluster random sampling method, the home chemotherapy pulmonary tuberculosis patient selects the Shandong Province Changqing, Junan, Zhang Qiu, Wendeng, From January 1st 2011 to December 31st 2011, 720 patients registered in Yishui and Rushan county cities were analyzed on the utilization of mobile phone network in patients with pulmonary tuberculosis, and their professional knowledge was combined. The influencing factors were analyzed by univariate analysis, and then non-conditional Logistic regression model was used to explore the influencing factors. This study found that the household chemotherapeutic pulmonary tuberculosis patients were poorly educated, average or poor financial status, univariate analysis showed that age, education, marital status, occupation, residence, medical security, income, Income sources were associated with the use of mobile phone networks in patients with pulmonary tuberculosis treated with chemotherapy at home, and non-conditional Logistic regression analysis showed that illiterate and semi-literate, Three factors of preschool children's education and married are independent risk factors of low cell phone utilization rate of patients with home chemotherapy pulmonary tuberculosis, and occupational workers are independent protective factors of high cell phone utilization rate of home chemotherapy pulmonary tuberculosis patients. The education level of illiterate and semi-literate is an independent risk factor of low network utilization rate of patients with pulmonary tuberculosis. This study suggests that it is more feasible to use short message service in combination with other intervention measures to remind TB patients of home chemotherapy to take drugs on time. The short message service can help health care workers better intervene in the treatment of tuberculosis patients who live in the home and receive regular medication and examinations. It is not enough to improve the cure rate and reduce the possibility of recurrence. It is not enough to help patients with tuberculosis in their home to improve their compliance. Medical and nursing staff can also help patients improve their compliance with medication with the help of the rapid development of network technology resources. The task of improving compliance of TB patients with chemotherapy at home is still significant and arduous. It is believed that through the family economic income, the task of improving the compliance of TB patients with drug taking is still great and arduous. The growth and improvement of education, Mobile phones and the Internet can serve as a new platform for the future prevention and treatment of tuberculosis.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R195.4;R521

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 張明梅,陳淑真;肺結(jié)核病人居家化療的宣教和護(hù)理干預(yù)[J];護(hù)理研究(下旬版);2005年18期

，

本文編號(hào)：1570978