印度南部一个农村结核病治疗点直接观察治疗（DOT）不依从的风险因素。
Risk factors for non-adherence to directly observed treatment (DOT) in a rural tuberculosis unit, South India.
作者信息
Gopi P G, Vasantha M, Muniyandi M, Chandrasekaran V, Balasubramanian R, Narayanan P R
机构信息
Tuberculosis Research Centre (ICMR), Mayor V.R. Ramanathan Road, Chetput, Chennai.
出版信息
Indian J Tuberc. 2007 Apr;54(2):66-70.
OBJECTIVE
To identify risk factors for non-adherence of tuberculosis (TB) patients to DOT.
METHODS
Retrospective study of TB patients by logistic regression analysis to identify risk factors for non-adherence.
RESULTS
Of the 1666 patients interviewed, 1108 (67%) adhered and 558 (33%) did not adhere to DOT. Of 558 patients, the risk factors associated with non-adherence were illiteracy (39%), difficulty in accessing health facility (57%), and non-government DOT centre (43%).
CONCLUSION
Patients should be educated about tuberculosis and importance of DOT. All DOT centres, including Non-government DOT centres, should be made more accessible and patient-friendly.
目的
确定结核病患者不坚持直接观察治疗（DOT）的危险因素。
方法
通过逻辑回归分析对结核病患者进行回顾性研究，以确定不坚持治疗的危险因素。
结果
在接受访谈的1666名患者中，1108名（67%）坚持DOT治疗，558名（33%）未坚持。在558名患者中，与不坚持治疗相关的危险因素包括文盲（39%）、就医困难（57%）以及非政府直接观察治疗中心（43%）。
结论
应向患者宣传结核病知识以及直接观察治疗的重要性。所有直接观察治疗中心，包括非政府直接观察治疗中心，都应更便于患者就医并更加人性化。
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