村医生发现与督导管理结核病病例现状调查

山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (3): 152-.

村医生发现与督导管理结核病病例现状调查

王兴洲1，廖唐洪2，徐凌忠1

1. 山东大学公共卫生学院社会医学与卫生管理研究所，济南 250012；
2. 江西省人民医院院办，南昌 330006

收稿日期:2009-11-04 出版日期:2010-03-16 发布日期:2010-03-16
通讯作者: 徐凌忠，男，教授，博士生导师，主要从事社会医学与卫生服务研究。
作者简介:王兴洲（1972- ），男，硕士研究生，讲师，主要从事社会医学与卫生事业管理研究。
基金资助:
中国疾病预防控制中心全球基金项目实施性研究课题（TB07-008）

Present situation of detection and management of tuberculosis patients by village doctors

WANG Xingzhou1, LIAO Tanghong2, XU Linzhong1

1. Institute of Social Medicine and Health Management, School of Public Health, Shandong University, Jinan 250012, China; 
2. Dean′s Office of the Jiangxi Provincial People′s Hospital, Nanchang 330006, China

Received:2009-11-04 Online:2010-03-16 Published:2010-03-16

摘要/Abstract

摘要：

目的了解村医生发现与督导管理结核病病例的现状。方法采用多阶段整群分层随机抽样方法选取样本，使用自制调查问卷，采取面对面询问方式调查。结果 37.6%的村医生发现过可疑肺结核症状者，村医生对结核病病例发现贡献度为74.5%，36.2%的村医生督导过肺结核患者，结核病病例的督导管理率为84.1%，83.0%的村医生对村民和结核患者开展过健康教育。结论村医生在结核病病例发现与督导中作用未达到预期效果，应加强对村医生的专业培训和对现代结核病控制策略（directly observed treatment, shortcourse, DOTS）的了解，提高村医生的综合素质。

关键词: 结核，肺；发现；管理；村医生

Abstract:

Objective To study the ability of village doctors in tuberculosis (TB) case detection and management. Methods The sample was randomly chosen with the cluster-based sampling method and the subjects were interviewed by using a self-made questionnaire. Results 37.6 % of village doctors had found TB symptoms and suspects; village doctors contributive degree in TB case detection was 74.5%; 36.2% of the village doctors had managed TB patients, and TB patients managed degree was 84.1%; 83.0% of the village doctors had education on tuberculosis prevention and cure for people and TB patients. Conclusions Village doctors do not achieve the desired results in TB case detection and management. A TB-related training program for village doctors should be reinforced, and the realization of DOTS (directly observed treatment， shortcourse) policy and the quality of village doctors should be improved.

Key words: Tuberculosis, pulmonary; Detection; Management; Village doctor

中图分类号:

R183.3

王兴洲1，廖唐洪2，徐凌忠1. 村医生发现与督导管理结核病病例现状调查[J]. 山东大学学报(医学版), 2010, 48(3): 152-.

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