摘要
目的了解村医生发现与督导管理结核病病例的现状。方法采用多阶段整群分层随机抽样方法选取样本,使用自制调查问卷,采取面对面询问方式调查。结果37.6%的村医生发现过可疑肺结核症状者,村医生对结核病病例发现贡献度为74.5%,36.2%的村医生督导过肺结核患者,结核病病例的督导管理率为84.1%,83.0%的村医生对村民和结核患者开展过健康教育。结论村医生在结核病病例发现与督导中作用未达到预期效果,应加强对村医生的专业培训和对现代结核病控制策略(directly observed treatment,short-course,DOTS)的了解,提高村医生的综合素质。
Objective To study the ability of village doctors in tuberculosis（TB） case detection and management.Methods The sample was randomly chosen with the cluster-based sampling method and the subjects were interviewed by using a self-made questionnaire.Results 37.6 % of village doctors had found TB symptoms and suspects;village doctors contributive degree in TB case detection was 74.5%;36.2% of the village doctors had managed TB patients,and TB patients managed degree was 84.1%;83.0% of the village doctors had education on tuberculosis prevention and cure for people and TB patients.Conclusions Village doctors do not achieve the desired results in TB case detection and management.A TB-related training program for village doctors should be reinforced,and the realization of DOTS（directly observed treatment,short-course） policy and the quality of village doctors should be improved.
出处
《山东大学学报（医学版）》
CAS
北大核心
2010年第3期152-154,158,共4页
Journal of Shandong University:Health Sciences
基金
中国疾病预防控制中心全球基金项目实施性研究课题(TB07-008)
关键词
结核
肺
发现
管理
村医生
Tuberculosis
pulmonary
Detection
Management
Village doctor
