天津市青隆医院肺结核门诊患者治疗依从性分析及相关因素分析

Thu Nguyen Thị Hoai, Quyen Bui Thi Tu, Hoa Nguyen Binh
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摘要

背景:治疗依从性被认为是结核病(TB)患者治疗和管理的重要和关键。这仍然是越南国家结核病控制规划面临的一大挑战,特别是在2019冠状病毒病大流行持续的新背景下。目的:描述结核病患者治疗依从性的现状,并找出影响结核病患者治疗依从性的一些因素ৼ。方法:采用定量与定性相结合的横断面研究设计。采用结构化问卷对109名结核病患者进行了访谈,并对结核病患者、患者家属和卫生工作者进行了23次深度访谈。通过评估药物使用依从性、随访依从性和定期测试依从性来评估电子信息。结果:该研究收集了109名结核病患者、10名患者家属和03名参与结核病门诊管理过程的卫生工作者的信息。患者依从率为45.9%。影响结核病患者治疗依从性的因素aৼ包括:受教育程度、平均收入、其他合并症、结核病知识和对结核病治疗依从性的认识、家人和亲属的帮助和支持;支持性社会组织;受COVID-19疫情影响的患者ৼ;卫生工作者的监督和支持,提醒用药时间和随访的形式;抗结核药物的不良影响,卫生工作者和结核病信息中心向患者提供结核病信息,以及患者对医疗服务提供的满意度。结论:结核病患者的治疗依从率仍然较低。有必要制定方案,提高结核病患者的治疗依从性,从而提高治疗的ৼ有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Treatment adherence in outpatient Tuberculosis patientsatHa Tinh Lung hospital in 2022 and some associatedfactors
Background: Treatment adherence is considered as important and pivotal in the treatment andmanagement of Tuberculosis (TB) patients. This is still a big challenge of VietnamNationalTuberculosisControl Program, especially in the newcontext of the prolongedCOVID-19pandemic.Objectives: To describe the status of adherence to treatment and to identify some factorsaৼectingto the treatment adherence of TB patients. Methods: Cross-sectional study design using quantitative combined with qualitativemethodswasapplied. All 109 TB patients were selected for interviews with a structured questionnaireand23 in-depth interviews were conducted with TB patients, patients' family members andhealthworkers. Evaluation of electronic information through assessment of adherence tomedicationuse,compliance with follow-up visits and compliance with periodic testing. Results: The study collected information from 109 TB patients, 10 patients' family membersand03health workers involved in the outpatient TB management process. Adherence rate of TBpatientswas 45.9%. Some factors aৼecting the treatment adherence of TB patients include: educationlevel, average income, other comorbidities, Tuberculosis knowledge and understandingof TBtreatment adherence, family and relatives' help and support; supportive social organizations;patients aৼected by the COVID-19 epidemic; the supervision and support of healthworkers, theform of reminders of medication time and follow-up visits; undesirable eৼects of anti-tuberculosisdrugs, patients are provided with information about TB by health workers andTBinformationcenters, and patients' satisfaction with the provision of medical services. Conclusions: The rate of adherence to treatment of TB patients is still low. It is necessarytohavesolutionsto enhance treatment adherence of TB patients, thereby improving the eৼectiveness of treatment.
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