山东省部分设立乡镇查痰点地区农民疑似肺结核患者的就诊延误情况

山东大学学报(医学版) ›› 2008, Vol. 46 ›› Issue (12): 1197-.

山东省部分设立乡镇查痰点地区农民疑似肺结核患者的就诊延误情况

张洪梅，李仁忠，刘言训,刘志敏

1. 山东大学公共卫生学院流行病与卫生统计学研究所，济南 250012；
2. 中国疾病预防控制中心结核病预防控制中心，北京 100050；
3. 山东省胸科医院结核病防治科，济南 250013

收稿日期:2008-07-18 发布日期:2009-12-16
通讯作者: 刘言训（1962- ），男，医学硕士，副教授，硕士生导师，主要从事结核病预防与控制的研究。
作者简介:张洪梅（1982- ），女，硕士研究生，主要从事结核病预防与控制的研究。

Factors associated with patient delay for farmers of TB suspects in districts with Township Sputum Collecting Centers in Shandong Province

ZHANG Hongmei, LI Renzhong, LIU Yanxun, LIU Zhimin

1. Institute of Epidemiology and Biostatistics, School of Public Health, Shandong University, Jinan 250012, China; 2. Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China; 3. Centerfor TB Control and Prevention, Shandong Provincial Chest Hospital, Jinan 250013,China

Received:2008-07-18 Published:2009-12-16

摘要/Abstract

摘要：

目的探讨山东省设立乡镇卫生院查痰点地区农民疑似肺结核患者的就诊延误情况及影响因素。方法按地理特点、乡镇查痰点查痰情况多阶段分层抽样，抽取8个县作为调查现场，对抽取到的疑似肺结核患者进行问卷调查。结果共调查245例疑似患者，其中农民患者204例（83.3%），平均就诊延误时间为38.54d（中位数为5d）；28.4%的农民患者就诊延误天数超过14d。在乡镇卫生院、县结核病防治所登记查痰的农民疑似患者，就诊延误天数差异无统计学意义（P>0.10）。距乡镇卫生院越远的患者越易发生就诊延误，低收入者发生就诊延误的危险性高，家庭成员因病住院治疗者发生就诊延误的危险性高，未获得过结核病知识宣传的患者更易发生就诊延误。结论影响农民患者就诊延误的影响因素有距乡镇卫生院的距离、经济状况、是否有家庭成员住院治疗以及是否获得过结核病知识的宣传。

关键词: 结核，肺；痰；延误；影响因素

Abstract:

Objective To explore the patient delay of TB suspecting farmers in districts with sputum collecting centers and its related factors in Shandong Province. Methods According to terrain and performance of Sputum Collecting Centers, multistage stratified sampling was carried out. Eight counties were chosen for study fields. Results 245 TB suspects were interviewed, and 83.3% of them were farmers. The median of the farmer patient delay was 5 days. 28.4% of farmer patients delayed over 14 days. There was no difference in patient delay for farmer patients checking sputum in township health centre and those in TB control centers. Logistic Regression showed that distance from home to a township health centers, personal earning, family members cured in hospital and lack of TB knowledge were significantly associated with delay in seeking care. Conclusion We conclude that those living far from health facilities, earning little, with family members cured in hospital and lacking TB knowledge face long delays in reaching TB services.

Key words: Tuberculosis, pulmonary; Sputum; Delay; Impact factors

中图分类号:

R183.3

张洪梅，李仁忠，刘言训,刘志敏. 山东省部分设立乡镇查痰点地区农民疑似肺结核患者的就诊延误情况[J]. 山东大学学报(医学版), 2008, 46(12): 1197-.

ZHANG Hongmei, LI Renzhong, LIU Yanxun, LIU Zhimin. Factors associated with patient delay for farmers of TB suspects in districts with Township Sputum Collecting Centers in Shandong Province[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(12): 1197-.

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