摘要
目的:分析农村老年肺结核患者就诊延迟及其影响因素,以便加强农村老年肺结核病防治工作。方法:采用横断面调查方法,除采用统一的专用门诊病历外,还运用自制的调查表,对2005年1月—2008年6月在结核病防治所诊治的农村老年新发涂阳肺结核病人逐一面对面调查。以首发症状到就医的时间在14d以上为就诊延迟。结果:老年肺结核病人就诊延迟比例高,有58.1%的病人存在就诊延迟,平均就诊延迟7.8周。导致就诊延迟的影响因素主要有结核病防治知识缺乏、经济困难、就医不便等。结论:农村地区老年人普遍存在结核病就诊延迟的现象,应该通过有针对性的健康促进工作提高结核病防治知识知晓率,并采用多种方式改变农村老年人的就医行为。
Objective To further analyze the situation of patient delay and the impact factors for senile pulmonary tuberculosis in rural area,and to improve the work of tuberculosis control in rural senile population. Methods A cross --sectional descriptive survey was conducted. In addition to establishing the specialized outpatient cases ,a consecutive sample of rural patients ,aged 60 years and over, with newly smear positive pulmonary tuberculosis was interviewed from January 2005 to June 2008. Patient delay was defined as more than 2 weeks from first symptoms to first visit for doctors. Results Patient delay was rather common in TB patients ,with 58.1 % of TB patients delayed in seeking health care. The average time of patient delay was 7.8 weeks. Factors significantly contributing to patient delay were lack of the knowledge of tuberculosis prevention and cure ,financial difficulties and inconvenience in seeking health care and so on. Conclusions Patient delay is rather common in rural senile population. TB awareness should be improved by targeted health promotion activities, and integrated measures should be taken to change the health care seeking behaviors in the rural senile population.
出处
《中国农村卫生事业管理》
2010年第4期300-302,共3页
Chinese Rural Health Service Administration
关键词
结核
肺
就诊延迟
老年
pulmonary tuberculosis
patient delay
senile
