摘要
目的评价患者关怀对利福平耐药肺结核(RR-PTB)患者门诊随访痰标本送检情况的影响。方法以西安市胸科医院耐药结核科门诊随访的RR-PTB患者作为研究对象。观察组1为2019年7—9月接受第一阶段3项关怀服务的门诊随访RR-PTB患者(249例),观察组2为2020年7—9月接受第二阶段6项关怀服务的门诊随访RR-PTB患者(239例),对照组为2018年7—9月接受常规门诊留痰指导的门诊随访RR-PTB患者(127例)。比较接受关怀服务前后3组患者痰标本送检率的变化。结果对照组、观察组1和观察组2患者总体痰标本送检率为35.8%(77/215)、51.7%(209/404)和78.6%(276/351),差异有统计学意义(χ^(2)=111.249,P<0.001)。观察组1第1次接受关怀后的痰标本送检率(47.0%,117/249)和观察组2第1次接受关怀后的痰标本送检率(73.6%,176/239)均明显高于对照组第1次痰标本送检率(29.9%,38/127),差异有统计学意义(χ^(2)值分别为10.110和65.278,P值均<0.017);且观察组2第1次接受关怀后的痰标本送检率明显高于观察组1,差异有统计学意义(χ^(2)=36.106,P<0.001)。观察组1接受第1次关怀、第2次关怀和第3次关怀后的痰标本送检率分别为47.0%(117/249)、57.4%(78/136)、73.7%(14/19),差异有统计学意义(χ^(2)趋势=7.448,P=0.006)。观察组2接受第1次关怀和第2次关怀后的痰标本送检率分别为73.6%(176/239)和89.3%(100/112),差异有统计学意义(χ^(2)=11.111,P=0.001)。结论患者关怀可以提高门诊随访RR-PTB患者痰标本送检率,且开展6项关怀服务的效果优于3项关怀服务的实施效果。
Objective To assess the effect of the patients care on the level of sputum specimens submitted for examination among the outpatient follow-up of rifampicin-resistant pulmonary tuberculosis(RR-PTB)patients.Methods The RR-PTB outpatients followed-up in Drug-Resistant TB Department of Xi’an Chest Hospital were taken as objects.The RR-PTB outpatients followed-up from July to September 2019 were taken as the intervention group 1(249 cases)who received 3 care services in the first phase.The intervention group 2(239 cases)were the RR-PTB outpatient followed-up from July to September 2020 who received 6 care services in the second-phase.Meanwhile,RR-PTB outpatients who followed-up from July to September 2018 received routine outpatient expectoration guidance were retrospectively analyzed as the control group(127 cases).The changes of the rate of sputum specimens submitted for examination of the 3 groups were compared. Results The overall rate of sputum specimens submitted for examination in the control group,intervention group 1 and intervention group 2 were35.8%(77/215),51.7%(209/404)and 78.6%(276/351)separately,the difference was statistically significant(χ^(2)=111.249,P<0.001).The rate in the intervention group 1 received the first intervention(47.0%,117/249)and the group 2 received the first intervention(73.6%,176/239)were significantly higher than that of control group(29.9%,38/127),the difference was statistically significant(χ^(2)=10.110,65.278;P<0.017).The rate of the intervention group 2 was significantly higher than the group 1(χ^(2)=36.106,P<0.001).The rates of intervention group 1 after receiving the first intervention,the second intervention and third intervention were 47.0%(117/249),57.4%(78/136)and 73.7%(14/19),respectively,and the differences were significant (χt2 rends=7.448,P=0.006).The rates of the intervention group 2 received first intervention and the second intervention were 73.6%(176/239)and 89.3%(100/112)respectively,and the difference was significant (χ^(2)=11.111,P=0.001).Conclusion Pati
作者
罗卉
阮云洲
赵阿利
袁荣
何小谋
李仁忠
LUO Hui;RUAN Yun-zhou;ZHAO A-li;YUAN Rong;HE Xiao-mou;LI Ren-zhong(Department of Drug-resistaml Tuberculosis,Xi'an Chest Hospital,Xi’an 710100,China)
出处
《中国防痨杂志》
CAS
CSCD
2021年第10期1046-1051,共6页
Chinese Journal of Antituberculosis
关键词
结核
抗多种药物性
利福平
病人医护管理
痰
患者关怀
对比研究
Tuberculosis
multidrug resistance
Rifampicin
Patient care management
Sputum
Patient care
Comparative study
