An analysis on the delay factors of the treatment and diagnosis among pulmonary tuberculosis patients
- VernacularTitle:肺结核患者就诊与确诊延迟因素研究
- Author:
Quan-Wei LOU
1
;
Jie-Ying CHEN
;
Yang GE
Author Information
1. 杭州市萧山区疾病预防控制中心
- Keywords:
Pulmonary tuberculosis;
Treatment delay;
Diagnosis delay;
Influencing factors
- From:
Journal of Preventive Medicine
2015;(9):889-892,896
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the delay factors of the treatment and diagnosis among pulmonary tuberculosis patients, and to provide scientific evidence for tuberculosis control.Methods A total of 128 pulmonary tuberculosis patients who was newly diagnosed and treated in Xiaoshan were enrolled in this study.The data of demography,medical history and tuberculosis knowledge were collected through questionnaires.Statistical method was used to analyze the current situation and delay factors of the treatment and diagnosis.Results The rate of treatment delay was 25.00%.Female patients without hemoptysis symptom,maintenance elderly,little knowledge of tuberculosis and low degree of education were relative to treatment delay among pulmonary tuberculosis patients (P <0.05 ).Multivariate logistic regression analysis showed that female(OR =6.39,95%CI:1.66 -24.61),was the delay factors of treatment.The rate of diagnosis delay was 50.78%.Multivariate logistic regression analysis showed that preliminary treatment in village or private clinics (OR =2.10,95%CI:1.00 -4.39),preliminary treatment without X ray (OR =3.91,95%CI:1.16 -13.19)and maintenance elderly (OR =57.43,95%CI:4.43 -744.30)were risk factors for delayed diagnosis.Conclusion The influencing factor for treatment and diagnosis delay are female,preliminary treatment in village or private clinics,preliminary treatment without X ray and maintenance elderly.
