摘要
目的探讨深圳市结核患者的就诊延迟现状及影响因素,为制定防治措施提供依据。方法收集2021年6月15日至2021年9月30日深圳市第三人民医院202例结核患者的个案资料,采用单因素和多因素logistic回归分析方法以明确结核患者就诊延迟的影响因素。结果202例结核患者就诊延迟率55.9%(113/202),就诊延迟天数为(62.6±7.3)d,就诊延迟中位数为19 d。单因素分析结果显示,女性就诊延迟率为49.6%(56/113),男性就诊延迟率为50.4%(57/113),多因素logistic回归分析结果显示,咳嗽(OR=31.561,95%CI:10.873~91.614)、胸痛(OR=4.527,95%CI:1.090~18.804)、盗汗(OR=15.278,95%CI:2.152~108.473)、其他症状(OR=3.361,95%CI:1.188~9.506)、止咳药(OR=10.963,95%CI:3.154~38.105)、纯中药(OR=5.920,95%CI:1.043~33.613)是就诊延迟的危险因素。结论肺结核患者就诊延迟现象较为普遍,以咳嗽起病的患者最容易出现诊断延迟,使用止咳药物、中药治疗是导致就诊延迟的高危因素,需要重点加强关注。
Objective To discuss the current situation and influencing factors of treatment delay of tuberculosis patients inShenzhen,and provide basis for formulating prevention and treatment measures.MethodsThe data of 202 tuberculosispatients in Shenzhen Third People’s Hospital from June 15,2021 to September 30,2021 were collected.Univariate andmultivariate logistic regression analysis were used to clarify the influencing factors of treatment delay of tuberculosis patients.ResultsThe delay rate of 202 tuberculosis patients was 55.9%(113/202),the number of days of delay was(62.6±7.3)days,and the median delay was 19 days.Univariate analysis showed that the delayed rate of women was 49.6%(56/113)and that of men was 50.4%(57/113).Multivariate logistic regression analysis showed that cough(OR=31.561,95%CI:10.873-91.614),chest pain(OR=4.527,95%CI:1.090-18.804),sweating theft(OR=15.278,95%CI:2.152-108.473),other symptoms(OR=3.361,95%CI:1.188-9.506),cough drugs(OR=10.963,95%CI:3.154-38.105)and pure traditionalChinese medicine(OR=5.920,95%CI:1.043-33.613)were the risk factors of treatment delay.ConclusionsThe phenomenonof delayed medical consultation was common in pulmonary tuberculosis patients.Patients with cough onset were most likelyto have delayed diagnosis.The use of antitussive drugs and traditional Chinese medicine treatment were high-risk factors thatlead to delayed medical treatment,and need to pay more attention.
作者
李静
姜游力
陈敬芳
张培泽
邓国防
林奕
LI Jing;JIANG You-li;CHEN Jing-fang;ZHANG Pei-ze;DENG Guo-fang;LIN Yi(National Infectious Disease Clinical Research Center,the Third People's Hospital of Shenzhen,Shenzhen,Guangdong 518114,China;Hengyang Medical School,School of Nursing,University of South China,Hengyang,Hunan 421001,China)
出处
《热带医学杂志》
CAS
2022年第11期1601-1604,共4页
Journal of Tropical Medicine
基金
国家自然科学基金(82070016)
关键词
结核病
就诊延迟
影响因素
Tuberculosis
Delay treatment
Influencing factors
