博茨瓦纳社区和初级卫生保健机构管理的肺结核患者概况和治疗结果的比较分析。

IF 1.9 Q3 INFECTIOUS DISEASES
Sejie Gabalape Arnold , Mahomed Ozayr Haroon
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引用次数: 0

摘要

背景:成功治疗肺结核是减少和避免每年数百万人死亡的必要条件。这项研究比较了通过社区结核病护理模式管理的患者与在初级卫生保健环境中管理的患者的概况,并测量了患者、卫生系统相关因素和结核病治疗结果之间的关联。方法:在博茨瓦纳的六个地区进行了一项回顾性多中心横断面研究。使用数据提取表对患者的记录进行审查,并使用结构化问卷获得登记册上未记录的数据。结果:对324名结核病患者进行了抽样调查。大多数参与者(84%;n=273)正在接受基于社区的DOT。具有中度结核病知识(OR 5.3955 CI 1.01-27.7)、对结核病护理有良好认知(OR 11,95%CI 1.29-94.0)的患者更有可能参加社区DOT并获得治疗治愈。那些从事商业的人(OR 3.85,95%CI 1.10-22.6),总是有可用的治疗(OR 3.66,95%CI 1.12-11.4),从不饮酒(OR 2.11,95%CI 1.06-4.19),使用他们的载体(OR 2.11.95%CI 0.99-4.48)的患者可能会加入社区DOT。结论:应在各级实施针对患者的教育计划和持续改进实践,以提高患者对结核病的认识和满意度,从而改善治疗结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comparative analysis of the profile and treatment outcomes of tuberculosis patients managed at the community and primary health care facilities in Botswana

Background

Successful treatment of Tuberculosis (TB) is necessary for mitigating and averting millions of deaths annually. This study compared the profiles and measured the association between patients, health system-related factors, and TB treatment outcomes of patients managed through the community tuberculosis care model with those managed in primary health care settings.

Methods

A retrospective multicenter cross-sectional study was conducted in six districts in Botswana. Patient’s records were reviewed using a data extraction sheet, and data not captured on registers were obtained using a structured questionnaire.

Results

Three hundred and twenty-four TB patients were sampled. Most participants (84 %; n = 273) were receiving community-based DOT. Patients with moderate TB knowledge (OR 5.3,955 CI 1.01–27.7), good perception of TB care (OR 11, 95 % CI 1.29–94.0), were more likely to enroll for community DOT and achieve treatment cure. Those in businesses (OR 3.85 95 %CI 1.10–22.6), always had treatment available (OR 3.66, 95 % CI 1.12–11.4), never drank alcohol (OR 2.11, 95 %CI 1.06–4.19), used their vehicle (OR 2.11.95 %CI 0.99–4.48) were likely to enroll for community DOT.

Conclusion

A patient-specific education program and continuous improvement practices to increase patient TB knowledge and satisfaction should be implemented at all levels to improve treatment outcomes.

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来源期刊
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases Medicine-Pulmonary and Respiratory Medicine
CiteScore
4.00
自引率
5.00%
发文量
44
审稿时长
30 weeks
期刊介绍: Journal of Clinical Tuberculosis and Mycobacterial Diseases aims to provide a forum for clinically relevant articles on all aspects of tuberculosis and other mycobacterial infections, including (but not limited to) epidemiology, clinical investigation, transmission, diagnosis, treatment, drug-resistance and public policy, and encourages the submission of clinical studies, thematic reviews and case reports. Journal of Clinical Tuberculosis and Mycobacterial Diseases is an Open Access publication.
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