少數(shù)民族地區(qū)肺結(jié)核患者就診延遲狀況及其影響因素分析
發(fā)布時間:2018-03-07 04:28
本文選題:結(jié)核 切入點:肺 出處:《重慶醫(yī)學(xué)》2017年18期 論文類型:期刊論文
【摘要】:目的探討少數(shù)民族地區(qū)肺結(jié)核患者就診延遲情況及其影響因素,為制訂有效防控措施提供參考依據(jù)。方法從全國結(jié)核病信息管理系統(tǒng)中收集錦屏縣2010-2014年確診的1 166例肺結(jié)核患者病歷資料,分析患者就診延遲相關(guān)情況,采用Logistic回歸模型分析患者就診延遲影響因素。結(jié)果 2010-2014年錦屏縣報告的1 166例肺結(jié)核患者中,就診延遲568例,就診延遲率為48.71%(568/1 166),就診延遲時間大于或等于30d者為67.25%(382/568),≥183d(半年)者為6.51%(37/568),≥365d者為2.64%(15/568),就診延遲最長時間達7年(2 549d);多因素Logistic回歸分析結(jié)果表明,與非農(nóng)民、痰陰、非重癥患者比較,農(nóng)民(OR=1.867,95%CI:1.300~2.700)、痰陽(OR=1.631,95%CI:1.200~2.100)、重癥患者(OR=0.684,95%CI:0.500~0.900)是少數(shù)民族地區(qū)肺結(jié)核患者就診延遲的危險因素。結(jié)論少數(shù)民族地區(qū)肺結(jié)核患者就診延遲與民族差異無關(guān),患者職業(yè)農(nóng)民、痰檢陽性與是否重癥是少數(shù)民族地區(qū)肺結(jié)核患者就診延遲的影響因素。
[Abstract]:Objective to investigate the delayed visit of pulmonary tuberculosis patients in minority areas and its influencing factors. Methods the medical records of 1 166 tuberculosis patients diagnosed from 2010 to 2014 in Jinping County were collected from the National TB Information Management system to analyze the related situation of delay in treatment. Logistic regression model was used to analyze the influencing factors of delayed visit. Results among 1 166 cases of pulmonary tuberculosis reported in Jinping County from 2010 to 2014, 568 cases were delayed. The delay rate was 48.71and 568 / 1166, 67.25 / 568 / 568, 6.51 / 568, 2.64 / 568and 2.64 / 568g respectively for those who had a delay of 30 days or more than or equal to 30 days, and 6.51 / 568 for those with 鈮,
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