景观结核多病症:印度一项横截面研究的发现
A Chauhan1, M Parmar2, J D Rajesham3
1Public Health Foundation of India, New Delhi, India.
BMC public health
|February 13, 2024
概括
超过一半的结核病患者患有多病症,多种慢性疾病的同时发生. 这凸显了需要综合护理策略来管理结核病患者复杂的健康需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 内部医学 内部医学
背景情况:
- 多病症,定义为两个或两个以上的慢性疾病,是一个日益增长的公共卫生挑战.
- 结核病 (TB) 的研究主要集中在特定的并发症上,这使得有关结核病患者多发症的患病率和影响的知识缺口.
研究的目的:
- 评估印度新诊断的结核病患者多病症的流行率和模式.
- 为了确定与结核病共同发生的共同条件 (二和三).
- 确定结核病患者多病症相关的因素.
主要方法:
- 一项涉及印度两个州323名新确诊的结核病患者的横截面研究.
- 利用对印度人口进行验证的初级保健结构化多病症评估问卷 (MAQ-PC) 来评估22种慢性疾病.
- 定义结核病多发症是结核病与一个或多个额外的慢性疾病并存.
主要成果:
- 超过一半 (52%) 的结核病患者报告多发病.
- 常见的同时出现的疾病包括抑郁症,糖尿病 (DM),酸性胃病 (APD),高血压,慢性酒精,关节炎和慢性背痛 (CBA).
- 与多病症相关的因素包括年龄较大,教育程度较低,滥用酒精,耐药结核病和医疗保险.
结论:
- 结核病多发症的高患病率需要为结核病患者量身定制的护理方案.
- 在医疗保健提供层面,解决多病症至关重要,特别是结核病和非传染性疾病 (NCD) 服务的整合.
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