摘要
目的分析老年肺结核患者就诊延迟现状及其影响因素,为制定有效防控策略提供参考依据。方法从结核病信息管理系统导出淮安市2010—2019年登记≥60岁肺结核患者信息,描述并分析患者就诊延迟的影响因素。结果淮安市老年肺结核患者就诊延迟时间中位数为21d,就诊延迟率为65.91%。多因素logistic回归分析结果表明:与常住人口、现居城市、首诊单位专科医院、患者来源转诊相比,流动人口(OR=2.942,95%CI:2.461~3.518)、现居农村(OR=1.528,95%CI:1.377~1.697)、首诊单位综合医院(OR=1.203,95%CI:1.087~1.333)、患者来源推荐(OR=2.395,95%CI:1.960~2.928)的就诊延迟风险更高;非农民、复发和痰检结果菌阴患者的就诊延迟风险分别低于农民(OR=0.315,95%CI:0.213~0.512)、新患者(OR=0.812,95%CI:0.689~0.974)和痰检菌阳患者(OR=0.866,95%CI:0.780~0.962)。结论淮安市老年肺结核患者就诊延迟现象严重,户籍类型、现居地、职业、首诊单位类型、患者来源、治疗分类和痰检结果是就诊延迟的影响因素,应采取综合措施降低就诊延迟率。
Objective To study patient delay and the influencing factors of the elderly patients with pulmonary tuberculosis(PTB),so as to provide evidence for developing effective prevention and control strategies.Methods Derived the information from PTB management information system in 2010-2019 of the tuberculosis patients who were aged 60 years or older in Huai′an City,described and analyzed the influencing factors of patient delay.Results The median time of PTB patients delay in Huai′an was 21 day,while the rate was 65.91%.Multivariate logistic regression analysis results showed that compared with permanent residents,city dwellers,the first diagnosis unit specialized hospital,and the patient source referral,the patient delay risks of the floating residents(OR=2.942,95%CI:2.461-3.518),the country dwellers(OR=1.528,95%CI:1.377-1.697),the first diagnosis unit general hospital(OR=1.203,95%CI:1.087-1.333),and the patient source recommendation(OR=2.395,95%CI:1.960-2.928)were higher,Compared with the peasants(OR=0.315,95%CI:0.213-0.512),new patients(OR=0.812,95%CI:0.689-0.974)and sputum smear positive patients(OR=0.866,95%CI:0.780-0.962),the patient delay risks of the non-peasants,recurrent patients,and sputum negative patients were lower.Conclusion The patient delay of the elderly patients with pulmonary tuberculosis(PTB)in Huai′an was serious,the influencing factors of patient delay were type of household registration,current residence,occupation,type of first-time unit,source of patient,classification of treatment,and the sputum test results.
作者
冯地忠
何伏华
张崇华
万青灵
吴登俊
FENG Di-zhong;HE Fu-hua;ZHANG Chong-hua;WAN Qing-ling;WU Deng-jun(Jinhu County Center for Disease Control and Prevention,Huai′an,Jiangsu 211600,China;Huai′an Center for Disease Control and Prevention,Huai′an,Jiangsu 232001,China;Qingjiangpu District Center for Disease Control and Prevention,Huai′an,Jiangsu 232001,China)
出处
《公共卫生与预防医学》
2021年第6期111-114,共4页
Journal of Public Health and Preventive Medicine
关键词
老年人
肺结核
就诊延迟
Elderly people
Pulmonary tuberculosis
Patient delay
