在印度奈,通过晚上DOTS改善结核病患者的治疗坚持
Daniel Bella Devaleenal1, Lavanya Jeyabal2, Dina Nair1
1National Institute for Research in Tuberculosis, ICMR, Chennai 600031, Tamil Nadu, India.
The National medical journal of India
|May 1, 2024
概括
晚上提供直接观察治疗,短程 (DOTS) 服务改善了结核病治疗结果. 时间方便的护理提高了患者的坚持和结核病患者的成功治疗完成.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 固定服务时间对结核病 (TB) 患者的护理构成了挑战.
- 评估晚间DOTS对工作人口的可行性至关重要.
研究的目的:
- 评估晚上DOTS是否改善结核病治疗结果.
- 为了确定灵活的服务时间对患者遵守的影响.
主要方法:
- 涉及新成年结核病患者的前性队列研究.
- 患者可以在白天 (8点至下午3点半) 或晚上 (4点至晚上8点) DOTS.
- 治疗结果在各组之间进行了比较.
主要成果:
- 15%的患者选择了晚上DOTS,主要是因为时间方便.
- 常规的DOTS有15%的不利结果;晚上的DOTS有100%的有利结果.
- 就业状况和酒精使用与治疗成功相关.
结论:
- 方便时间的服务,如晚间的DOTS,可能会提高结核病治疗的坚持.
- 灵活的日程安排可以改善结核病患者的治疗结果.
- 调整服务以满足患者需求对于公共卫生倡议至关重要.
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