巴西城市杜奎斯·德卡西亚斯的一家基层医疗诊所向肺结核患者发放食品篮：对治疗结果的影响。
Food baskets given to tuberculosis patients at a primary health care clinic in the city of Duque de Caxias, Brazil: effect on treatment outcomes.
机构信息
Instituto de Doenças do Tórax, Universidade Federal do Rio de Janeiro - IDT-UFRJ, Thoracic Diseases Institute of the Federal University of Rio de Janeiro - Rio de Janeiro, Brazil.
出版信息
J Bras Pneumol. 2009 Oct;35(10):992-7. doi: 10.1590/s1806-37132009001000008.
OBJECTIVE
To evaluate the effect that the distribution of food baskets to tuberculosis (TB) patients has on treatment outcomes at a primary health care clinic.
METHODS
Retrospective comparative study of the medical and social aspects of 142 patients at a primary health care clinic in the city of Duque de Caxias, Brazil. The patients were divided into two groups: the first group included 68 patients treated with standard regimens (between September of 2001 and December of 2003); and the second group included 74 patients treated with the same regimens but also receiving food baskets on a monthly basis (between January of 2004 and July of 2006).
RESULTS
The statistical comparison between the two groups revealed that the cure rate was higher in the group receiving the food baskets (87.1% vs. 69.7%), whereas the rate of noncompliance was markedly lower (12.9% vs. 30.3%).
CONCLUSIONS
The results indicate that the distribution of food baskets can be a useful strategy to improve compliance with TB treatment at primary health care clinics.
目的
评价向肺结核（TB）患者分发食品篮对基层医疗诊所治疗效果的影响。
方法
对巴西杜克凯克斯市一家基层医疗诊所的 142 名患者的医疗和社会状况进行回顾性对比研究。患者分为两组：第一组 68 名患者接受标准方案治疗（2001 年 9 月至 2003 年 12 月）；第二组 74 名患者接受相同方案治疗，但每月还接受食品篮（2004 年 1 月至 2006 年 7 月）。
结果
两组之间的统计比较显示，接受食品篮的患者治愈率更高（87.1%比 69.7%），而不遵医嘱的比例明显更低（12.9%比 30.3%）。
结论
结果表明，分发食品篮可以作为提高基层医疗诊所结核病治疗依从性的有效策略。
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