在埃塞俄比亚南部,结核病患者对直接观察的治疗短期策略和相关因素的满意度:混合方法研究
Simeon Meskele Leyto1, Lankamo Ena Digesa2, Serawit Lakew2
1Department of Anatomy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia. simeonmeskele@gmail.com.
BMC public health
|September 9, 2024
概括
在埃塞俄比亚,患者对结核病直接观察治疗短期疗程 (DOT) 的满意度为61.17%. 改善接入,实验室服务和设施可以提高患者对结核病治疗的满意度.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结核病 (TB) 是全球主要的健康问题,也是埃塞俄比亚主要的传染病死亡原因.
- 直接观察治疗短疗程 (DOT) 提高结核病治疗的成功率,降低耐药性.
- 患者对DOT的满意度与治疗坚持和结果有关,但埃塞俄比亚的研究有限.
研究的目的:
- 确定结核病患者对DOT战略的满意度.
- 确定与埃塞俄比亚南部加莫地区患者对DOT满意度相关的因素.
- 通过改善患者体验,为实现"终止结核病战略"的战略提供信息.
主要方法:
- 一个基于机构的横截面研究,结合了定量和定性数据.
- 一种系统的随机抽样方法选择了374名参与者参加面试官管理的问卷和焦点小组讨论 (FGD).
- 使用双变量和多变量分析来确定与满意度相关的重要因素.
主要成果:
- 结核病诊断中心的整体满意率为61.17%.
- 接受治疗20周以上的患者更有可能感到满意 (AOR=3.97).
- 高感知运输成本 (AOR=0.21),劣质的实验室服务和不足的卫生设施与较低的满意度有关.
结论:
- 在加莫地区,患者对结核病诊断中心的满意度中等,有改进的余地.
- 提高DOT的可访问性,减少实验室延误,改善卫生条件对于患者满意度至关重要.
- 解决患者报告的问题对于成功预防和控制埃塞俄比亚的结核病至关重要.
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