| 段鸣姬，习金发，何明蕃.“四位一体”督导模式对农村肺结核患者管理效果的影响[J].实用中西医结合临床,2023,23(16):98-101 |
| “四位一体”督导模式对农村肺结核患者管理效果的影响 |
| The Influence of "Four in One" Supervision Mode on the Management Effect of Rural Pulmonary Tuberculosis Patients |
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| DOI： |
| 中文关键词: 肺结核 农村 常规管理 “四位一体”督导模式 |
| 英文关键词: Tuberculosis Rural areas Routine management "Four-in-one" supervision mode |
| 基金项目:江西省吉安市科技计划项目（编号：20222-026791） |
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| 摘要点击次数: 130 |
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| 中文摘要: |
| 目的：探讨采用“四位一体”督导模式对农村肺结核患者管理效果的影响。方法：选取2020年1月至2021年12月江西省吉安县人民医院定点肺结核门诊建档在案的农村肺结核病原学阳性患者120例，采用随机数字表法分为实验组和对照组，每组60例。对照组采用由基层卫生院防疫员对患者进行的传统单一督导模式，实验组采用“定点医疗机构、疾病预防控制中心、基层卫生院、家属”共同参与的新型督导模式，简称“四位一体”。统计分析两组肺结核病患者对肺结核病防治核心信息及知识的知晓率、肺结核患者服药依从性、肺结核患者成功率，评价两种督导模式对农村肺结核患者管理效果的影响。结果：督导后，实验组结核病患者对结核病防治核心信息及知识的知晓率达88.67%，高于对照组的61.33%，差异有统计学意义（P＜0.05）；实验组服药总依从率为96.67%，高于对照组的86.67%，差异有统计学意义（P＜0.05）；实验组成功率91.67%高于对照组的78.33%，差异有统计学意义（P＜0.05）。结论：针对农村肺结核患者采用“四位一体”督导模式对结核病管理效果有较好的影响，提高了农村肺结核患者对肺结核病防治核心信息及知识的知晓率、肺结核患者服药依从性从而达到提升肺结核患者成功率，阻断疾病传播，减少肺结核病造成的社会负担和患者家庭经济负担，为基层农村地区结核病防控策略提供了参考依据。 |
| 英文摘要: |
| Objective: To explore the effect of "four-in-one" supervision mode on the management of rural pulmonary tuberculosis patients. Methods: From January 2020 to December 2021, a total of 120 cases of rural tuberculosis etiology positive patients registered in the designated tuberculosis outpatient department of Ji’an county people's hospital were selected and divided into experimental group and control group by random number table method, with 60 cases in each group. The control group used the traditional single supervision mode carried out by the epidemic prevention staff of the grass-roots health center for patients, and the experimental group used the new supervision mode with the participation of "designated medical institutions, centers for disease control and prevention, grass-roots health centers and families", referred to as "four in one". The awareness rate, medication compliance and successful treatment rate of tuberculosis patients in the two groups of tuberculosis patients on the core information and knowledge of tuberculosis prevention and control were statistically analyzed, and the influence of the two supervision modes on the management effect of rural tuberculosispatients was evaluated. Results: After supervision, the awareness rate of tuberculosis patients in the experimental group was 88.67% higher than 61.33% in the control group, and the difference was statistically significant (P＜0.05). The total compliance rate of the experimental group was 96.67% higher than that of the control group(86.67%), and the difference was statistically significant (P＜0.05). The successful treatment rate of the experimental group was 91.67% higher than that of the control group 78.33%, the difference was statistically significant (P＜0.05). Conclusion: The use of "four-in-one" supervision mode for rural tuberculosis patients has a good impact on the effect of tuberculosis management, improving the awareness rate of rural tuberculosis patients on the coreinformation and knowledge of tuberculosis prevention and treatment, and the compliance of tuberculosis patients to take medicine, so as to improve the successful treatment rate of tuberculosis patients and block the spread of the disease. Reducing the social burden caused by tuberculosis and the economic burden of patients' families provides a reference for the prevention and control strategy of tuberculosis in rural areas at grassroots level. |
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