评估导致肺结核不服药的关键因素:一项描述性研究
Mariam Lakara1, Anil Kumar Patidar1, Anil Sharma1
1Department of Nursing, CHARUSAT Campus, Charotar University of Science and Technology, Changa, Gujarat.
概括
印度近一半的结核病患者没有完成药物治疗. 早期停止治疗显著增加了不遵守的风险,表明需要全面的干预措施来改善遵守.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 构成了全球重大健康负担,特别是在印度等发展中国家.
- 不遵守结核病药物治疗方案是阻碍有效控制疾病的关键因素.
研究的目的:
- 调查印度社区的肺结核患者对结核病药物不服药的患病率和决定因素.
- 确定与药物不服药相关的关键个人,经济,社会,心理,卫生设施和技术因素.
主要方法:
- 在印度对215名肺结核患者进行了一项描述性的横截面研究.
- 数据采集使用结构化,自我管理的调查问卷来评估人口特征和影响遵守的因素.
- 为了参与者选择,采用了非概率有目的抽样.
主要成果:
- 该研究发现,肺结核患者的不服药率为48.3%.
- 患者在感觉好转后停止服用药物时,不服药的风险显著增加 (OR = 8.693).
- 在51.7%的参与者中观察到结核病治疗的坚持.
结论:
- 肺结核治疗的不坚持是多因素的,受到个人,经济,社会,心理,卫生设施和技术因素的影响.
- 针对性,多方面的干预措施对于改善药物服药和结核病治疗结果至关重要.
- 了解患者报告的停止药物治疗的原因对于开发有效的坚持策略至关重要.
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