青年肺结核患者发现延迟及影响因素分析

摘要

Objective To study the detective delay and influence factors in the youth pulmonary tuberculosis patients, for evidence in preventing and controlling tuberculosis. Methods A cross-sectional descriptive survey was conducted in the youth inpatients of pulmonary tuberculosis. The data were analyzed with SPSS13. 0 and logistic regression. Results There were 400 patients with complete data. The median of patient delay, diagnostic delay and detective delay were 16.0, 2.0 and 28. 5 days. Logistic regression shows that the factors associated with patient delay were the determination of patients after uncomfortable and knowing tuberculosis prevention and cure organization, and the factors associated with diagnostic delay were fever, chest pain, hemoptysis and night sweat. Conclusion The main portion of detective delay is the patient delay in the youth pulmonary tuberculosis patients. To improve the early detection rate, it is very important to put emphasis on aggrandizing propaganda for the junior middle school students with various methods.%目的 探讨青年肺结核患者发现延迟情况及影响因素,为促进结核病的预防和控制提供依据.方法 采取现况调查方法,以2004年8月至2007年9月间在我院结核科住院治疗的青年肺结核患者作为研究对象,利用自制调查表收集相关资料,应用logistic回归分析就诊延迟及确诊延迟的影响因素.结果 资料完整者400例,就诊延迟中位时间16.0(1～1 825)天,确诊延迟中位时间2.0(1～570)天,发现延迟中位时间28.5(2～1 834)天.就诊延迟的主要影响因素:出现不适后的决定及是否知道结核病防治医疗机构.确诊延迟的影响因素有发热、咯血、胸痛及盗汗.结论 青年肺结核患者就诊延迟是发现延迟的主要部分.为提高早期发现率,应加大结核病防治知识的宣传力度,尤其应以在校初中学生作为重点宣传对象,采取多种途径进行宣传.