Influencing factors for treatment compliance of patients with multidrug-resistant tuberculosis
10.3969/j.issn.1671-9638.2015.09.004
- VernacularTitle:耐多药结核病患者治疗依从性的影响因素分析
- Author:
Yanhong LI
;
Jianggui WU
;
Guizhi ZHOU
;
Jinhong XU
;
Zhiling HU
;
Yajun LUO
;
Liqiong BAI
- Publication Type:Journal Article
- Keywords:
telephone follow-up;
multidrug-resistant tuberculosis;
treatment;
compliance;
influencing factor
- From:
Chinese Journal of Infection Control
2015;(9):593-596
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influencing factors for post-discharge treatment compliance of patients with multidrug-resistant tuberculosis (MDR-TB).Methods MDR-TB patients who were hospitalized in a tubercu-losis hospital between November 2011 and January 2013 were chosen,post-discharge follow-up was conducted regu-larly through telephone call.Medicine-taking and re-examination of patients was inquired,factors influencing pa-tients’treatment compliance were analyzed.Results 299 patients were included in the study,the total treatment compliance rate was 81 .94% (n=245);249(83.28%)patients regularly took medicine,50(16.72%)didn’t regu-larly take medicine;254 (84.95%)were re-examined on time,45 (15.05%)were not re-examined on time;37 (12.37%)discontinued treatment,260 (86.96%)continuously treated till the survey deadline.Univariate analysis revealed that treatment compliance (including regular medication rate,timely re-examination rate,interrupted treat-ment rate,and total compliance rate)was significantly different among MDR-TB patients of different ages,education levels,treatment time,and with or without adverse reactions(all P <0.05 ).Logistic regression analysis revealed that treatment compliance of MDR-TB patients was negatively correlated with treatment time(β=-1 .47,Wald χ2=24.28,P <0.05)and adverse reactions(β=-2.02,Waldχ2 =24.24,P <0.05 ),while positively correlated with education levels(β=0.79,Wald χ2 =6.50,p <0.05 ).Conclusion Prolonged treatment time and adverse reactions can reduce the treatment compliance of MDR-TB patients,the higher education levels of MDR-TB patients have, the better treatment compliance they implement.
