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目的分析宁夏山区涂阳肺结核病患者依从性及其主要的影响因素,为山区涂阳肺结核患者治疗管理工作的改善提供科学依据。方法采用分层整群系统随机抽样方法 ,入户面对面问卷调查,个人访谈。结果宁夏山区涂阳肺结核病患者服药依从性、复查依从性达到了96.2%、89.4%。药物不良反应、复查距离为影响依从性的主要因素。结论充分的健康教育提高了患者的依从性。进一步改进结核药物剂型和使用方式,政府为贫困患者适当提供就医时的交通费、食宿费用和肝功能检查费,避免因经济困难而影响依从性。
Objective To analyze the compliance and main influencing factors of smear positive pulmonary tuberculosis patients in mountainous areas of Ningxia and provide a scientific basis for the improvement of treatment and management of smear positive pulmonary tuberculosis in mountainous areas. Methods The stratified cluster system random sampling method, face-to-face questionnaire survey, personal interview. Results The compliance of smear-positive pulmonary tuberculosis patients in Ningxia was 96.2% and 89.4% respectively. Adverse drug reactions, review the distance as the main factor affecting compliance. Conclusion Adequate health education improves patient compliance. To further improve the dosage form and use of TB drugs, the government properly provides the impoverished patients with transport, accommodation and liver function examination fees for medical treatment, so as to avoid compliance difficulties due to economic difficulties.