【摘要】 目的调查肺结核患者在居家化疗不同阶段的治疗依从性现状。方法选取2016年1-7月在天津市海河医院确诊为肺结核并已开始化疗的患者208例,采用Morisky服药依从性量表的8个条目(MMAS-8)调查患者的服药依从性,根据《中国结核病防治规划实施工作指南》中的相关规定分别调查患者在化疗疗程的第2个月末、第4个月末、第6个月末的服药和复查依从性状况。结果调查结果显示肺结核患者在不同阶段的治疗依从性不同,差异有统计学意义(P<0.05),复查依从性在治疗的第4个月末最低,服药依从性在治疗的第6个月末最低。结论医护人员应加强治疗中期对复查依从性的干预和治疗末期对服药依从性的干预,从而提高肺结核患者的治疗依从性,减少疾病的传播和复发。更多还原

【Abstract】 Objective To investigate the situation of treatment adherence of tuberculosis patients in different stages of home chemotherapy. Methods 208 patients diagnosed with pulmonary tuberculosis and given chemotherapy from January 2016 to July 2016 in Tianjin Haihe Hospital were chosen. The medication compliance of them were investigated by using the 8 entries of Morisky Medication Adherence Scale(MMAS-8),the compliance of medication and reexamination were investigated according to the China Tuberculosis Control Program Implementation Guide at the end of second,fourth,sixth months of chemotherapy. Results The survey results showed that the treatment compliance of pulmonary tuberculosis patients was difference in different stages of treatment,the differences were statistically significant(P<0.05). The reexamination compliance was lowest at the end of fourth month of treatment,the medication compliance was lowest at the end of sixth month of treatment. Conclusion Doctors and nurses should strengthen intervention for the reexamination compliance in the middle of the treatment and the medication compliance in the end of treatment. So as to improve the treatment compliance of patients with tuberculosis,reduce the spread and recurrence.更多还原