摘要
目的:对武汉市住院复治涂阳肺结核患者首诊延误及其影响因素进行研究。方法:自行设计调查表,用面对面访谈的方式对188例复治涂阳肺结核患者进行调查。首诊延误的单因素分析采用Wilcoxon符号秩和检验,多因素分析采用Logistic回归。结果:首诊延误中位数为6天;首诊延误时间的危险因素为无咯血症状(OR=2.851,95%CI:1.363-5.964)及结核相关知识得分低(OR=2.082,95%CI:1.115-3.885)。结论:武汉市住院复治涂阳肺结核患者中首诊延误处于较低水平。应加强对人群的结核病健康教育,使其对结核病的可疑症状如咳嗽咳痰等有所警觉,促进其主动到结核病防治专业医疗机构就医,从而缩短首诊延误时间。
Objective： To study the first diagnosis delay and the determinants of inpatients with retreatment in smear-positive pulmonary tuberculosis from January to December in 2011. Methods： 188 patients with retreatment in smear-positive pulmonary tuberculosis were investigated by using a serf-designed questionnaire by face to face interview. Wileoxon rank sum test was used to conduct the univariate analysis of first diagnosis delay, and Logistic regression was used to conduct the multivariate analysis. Results： The median of first diagnosis delay was 6 days. No hemoptysis （OR=2.851,95%CI： 1.363-5.964） and lower TB knowledge（OR=2.082,95%CI：1.115-3.885） were risk factors for the first diagnosis delay. Conclusion： The level of first diagnosis delay among retreatment mear-positive tuberculosis inpatients in Wuhan was relatively low. The health education towards general population should be strengthened. We must make people aware of the seriousness of symptoms the ＂cough and sputum＂ and raise the doubts of tuberculosis, thus to reduce the first diagnosis delay.
出处
《医学与社会》
2012年第12期49-51,共3页
Medicine and Society
关键词
首诊延误
肺结核
复治涂阳
First Diagnosis delay
Pulmonary tuberculosis
Retreatment Smear-positive
