atma jaya医院肺结核病人成功治疗与治疗支援人员的关系

Fariz Abdul Mujib Dailami, Regina Satya Wiraharja, F. Chriestya
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摘要

肺结核(TB)是社区面临的最大健康问题之一。结核病是一种由结核分枝杆菌引起的呼吸道传染病。世界卫生组织(世卫组织)建议采用直接观察短程治疗(DOTS)战略进行结核病治疗,其中之一是通过在治疗期间监督患者的治疗支持者(PMO或Pengawas Minum Obat)的帮助。方法:采用横断面分析方法进行描述性研究。调查对象是根据Atma Jaya医院的医疗记录进行连续抽样的。纳入标准为痰涂片镜检阳性的新诊断结核病患者、治疗完成6个月的成年结核病患者以及完成结核病治疗后进行痰涂片镜检的患者。排除标准为结核- hiv患者和轻度结核患者。在达到这些标准后,共选出81名答复者。数据分析采用卡方检验(Fisher精确检验)。结果:患者年龄以15 ~ 50岁为主(70.4%),平均年龄(38.49±17.83)岁,男性占53.1%,家属支持治疗占91.4%,成功治疗占74.1%。有治疗支持者的结核病患者治疗成功率(66.7%)高于无治疗支持者的结核病患者(7.4%),但治疗支持者的可获得性与结核病治疗成功率之间无显著性差异(p=0.670)。结论:尽管结果不显著,但本研究对Atma Jaya医院结核病DOTS战略的实施有很好的启示。这一战略的实施导致有治疗支持者和没有治疗支持者的患者之间的样本数量不平衡,导致对有结核病治疗支持者群体的结果估计过高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RELATIONSHIP BETWEEN SUCCESSFUL TREATMENT OF PULMONARY TUBERCULOSIS PATIENTS WITH THE AVAILABILITY OF TREATMENT SUPPORTER IN ATMA JAYA HOSPITAL
Introduction: One of the biggest health problems faced by community is pulmonary tuberculosis (TB).TB is an respiratory tract infectious disease caused by Mycobacterium Tuberculosis. World Health Organization (WHO) recommends TB treatment with Directly Observed Treatment Short-course (DOTS) strategy, one of which is through the help of treatment supporter (PMO or Pengawas Minum Obat) who supervises the patient during the treatment period. Methods: This was an analytic descriptive study with cross sectional approach.. Respondents were taken by consecutive sampling, based on medical records at Atma Jaya Hospital. We applied inclusion criteria such as newly diagnosed TB patient with positive sputum smear microscopy results, adult TB patient who has finished 6 month of treatment and patients who have done sputum smear microscopy test after finishing their TB treatment. The exclusion criteria were TB-HIV patients and Milliary TB patients. After fulfilment of those criteria, a total of 81 respondents were selected. Data was analysed by Chi Square test (Fisher Exact test). Results: Most of patients were 15-50 years old (70,4%) with mean age at 38.49±17.83 years old),male (53.1%), had family as treatment supporter (91.4%) and had successful TB treatment (74.1%). TB patients with treatment supporter had more successful treatment (66.7%) than TB patients with no treatment supporter (7.4%), however there was no significant among the avalibility of treatment supporter and the success of TB treatment (p=0.670). Conclusion: Despite the insignificant result, this study gives good insight to implementation of TB DOTS strategy in Atma Jaya Hospital. The implementation of this strategy contributes to imbalance number of samples between patient with and without treatment supporter, leading to overestimate results on with TB treatment supporter group.
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