成功完成结核病治疗的治疗支持者类型:巴基斯坦的回顾性队列研究。

The open infectious diseases journal Pub Date : 2018-01-01 Epub Date: 2018-05-18 DOI:10.2174/1874279301810010037
Sana Hussain, Jamshed Hasnain, Zareen Hussain, Masroor Badshah, Hafeez Siddique, Christina Fiske, April Pettit
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引用次数: 8

摘要

背景:世界卫生组织推荐以患者为中心的结核病药物管理方法。以患者为中心策略的一个核心要素是使用治疗支持者来评估和提高对治疗方案的依从性,并在出现不良依从性时解决问题。本研究旨在确定各种治疗支持者在成功完成治疗中的作用。方法:本研究在信德省、海德拉巴和米尔普卡两个地方进行。收集的信息包括年龄、性别、地区、治疗支持者类型(亲属、社区和卫生机构工作人员)和治疗结果。结果:在纳入研究的773名患者中,选择家庭支持者的比例为86.8%,选择社区工作者的比例为7.63%,选择卫生机构工作者的比例为5.56%。女性和年轻患者更倾向于家庭成员监督他们的治疗。在三种治疗支持者调节的患者中,治疗完成率彼此之间并不完全唯一(p=0.23卡方)。结论:该研究表明,应该敦促结核病患者选择他们倾向的支持者,因为在资源有限的情况下,卫生系统外的治疗支持者的选择不会对结核病治疗结果产生不利影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Type of Treatment Supporters in Successful Completion of Tuberculosis Treatment: A Retrospective Cohort Study in Pakistan.

Background: The World Health Organization has recommended a patient-centered approach to tuberculosis drug administration. A central element of the patient-centered strategy is the use of treatment supporters to evaluate and elevate adherence to the treatment regimen and to address poor adherence when it occurs. This study was led to determine the part of various treatment supporters in the successful completion of treatment.

Method: This study was conducted in two locales of Sindh, Hyderabad and Mirpurkhas. Information gathered included age, gender, regions, sort of treatment supporters (relatives, community and health facility workers) and treatment outcomes.

Results: Of the 773 patients incorporated into the study, 86.8% picked a family supporter, 7.63% selected community worker and 5.56% chose health facility worker as their treatment supporter. Women and younger patients were more likely to prefer that family members supervise their treatment. Treatment achievement rates among the patients regulated by the three kinds of treatment supporters, were not altogether unique in relation to each other (p=0.23 Chi square).

Conclusion: The study demonstrates that TB patients ought to be urged to pick the supporter of their inclination as selection of treatment supporter outside the health system does not adversely affect TB treatment outcomes in limited resource settings.

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