埃塞俄比亚结核病患者的结核病治疗延迟和促成因素:系统性审查和元分析
Getahun Fetensa1,2, Dessalegn Wirtu3, Belachew Etana3
1Department of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
Heliyon
|April 8, 2024
概括
埃塞俄比亚结核病治疗延迟影响超过50%的患者,受知识,护理距离和患者特征等因素的影响. 解决这些变量对于埃塞俄比亚有效的结核病控制计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,导致大量的发病率和死亡率.
- 埃塞俄比亚面临着相当大的结核病负担,之前的研究对治疗延迟产生了不确定的结果.
- 本综述综合了证据,以更清楚地了解埃塞俄比亚结核病治疗延迟的情况.
研究的目的:
- 进行系统审查和元分析,以确定埃塞俄比亚结核病治疗延迟的综合流行率.
- 在埃塞俄比亚背景下确定与结核病治疗延迟相关的关键因素.
主要方法:
- 在多个数据库中对2002-2024年在线和未发表的来源进行了系统的搜索.
- 数据分析涉及STATA版本14,使用I2和Cochrane Q测试评估异质性.
- 出版偏差是使用漏斗图和埃格尔的统计方法来评估的.
主要成果:
- 在埃塞俄比亚,结核病治疗延迟的总体患病率为50.42% (95% CI:43.21,57.64).
- 防止延迟的保护因素包括对结核病的了解,接近卫生设施 (<10公里),在政府结核病中心的初始接触,教育,肺结核病和城市居住.
- 增加延迟风险的因素包括女性性别,没有胸痛,没有活动限制的严重疾病,酒精消费和未婚.
结论:
- 埃塞俄比亚的结核病治疗延迟是相当大的,并与个人和设施相关的因素有关.
- 埃塞俄比亚的结核病控制计划必须在整个患者护理过程中解决已识别的障碍和脆弱性.
- 提高服务提供者的能力和提高专业意识是尽量减少延误的关键.
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