Crespo R, Valdés L, Bobé I, Caylà J A
Servicio de Epidemiología, Instituto Municipal de la Salud, Barcelona.
Aten Primaria. 1992 Apr;9(5):260-2.
To identify the obstacles, as seen by the patient, to adequately carrying through anti-Tuberculosis treatment.
Crossover study. SITE. At Community level, in the city of Barcelona.
Each patient was responsible for filling in a survey at home. It was considered that a patient did not adequately carry out the treatment if he/she failed to take the medication for a period longer than three consecutive days. We discounted 66 exitus or losses and were left with 308 surveys. Out of these, the failure rate was 13.5%. The only variable statistically linked to failure was Dangerous Drug Addiction (DDA) (OR = 6.1; CI:2.3-15.8). The most common cause of failure was forgetfulness, followed by deliberate abandonment. The greatest problems in obtaining prescriptions were the opening hours or location of the dispensary. In spite of the seriousness of the illness, patients do not illness, patients do not usually give up their toxic habits. 68.8% were followed up in hospitals and only 8.8% in Primary Care Centres.
Failure is linked to forgetfulness and deliberate abandonment. Patients have problems in obtaining prescriptions because of the opening hours and location of the prescriptions dispensary. Corrective measures should be taken for these latter problems.
确定患者认为在充分完成抗结核治疗过程中存在的障碍。
交叉研究。地点：在巴塞罗那市的社区层面。
每位患者负责在家填写一份调查问卷。如果患者连续三天以上未服药，则认为其未充分进行治疗。我们排除了66例死亡或失访病例，最终得到308份调查问卷。其中，治疗失败率为13.5%。唯一与治疗失败有统计学关联的变量是药物成瘾（OR = 6.1；CI：2.3 - 15.8）。最常见的治疗失败原因是遗忘，其次是故意停药。获取处方最大的问题是药房的营业时间或位置。尽管病情严重，但患者通常不会戒除其不良习惯。68.8%的患者在医院接受随访，只有8.8%在初级保健中心接受随访。
治疗失败与遗忘和故意停药有关。由于药房的营业时间和位置，患者在获取处方方面存在问题。对于后一类问题应采取纠正措施。
