Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Epidemiol Community Health. 2018 May;72(5):369-375. doi: 10.1136/jech-2017-209458. Epub 2018 Jan 19.
With the increasing of ageing population, tuberculosis in the elderly brings a challenge for the tuberculosis (TB) control in China. Enough social support can promote the treatment adherence and outcome of the elderly patients with TB. Exploring effective interventions to improve the social support of patients is of great significance for TB management and control.
A community-based, repeated measurement trial was conducted. Patients with TB >65 years of age were allocated into the intervention or control group. Patients in the intervention group received comprehensive social support interventions, while those in the control group received health education alone. The social support level of patients was measured at baseline and at the first, third and sixth months during the intervention to assess the effectiveness of comprehensive social support interventions.
A total of 201 patients were recruited into the study. Compared with the control group, social support for patients in the intervention group increased significantly over time (β=0.61, P<0.01) in the following three dimensions: objective support (β=0.15, P<0.05), subjective support (β=0.32, P<0.05) and support utilisation (β=0.16, P<0.05). The change in the scores in the control group was not statistically significant.
The intervention programme in communities, including health education, psychotherapy and family and community support interventions, can improve the social support for elderly patients with TB compared with single health education.
ChiCTR-IOR-16009232.
随着人口老龄化的增加，老年人结核病给中国的结核病（TB）控制带来了挑战。足够的社会支持可以促进老年 TB 患者的治疗依从性和结局。探索有效的干预措施来提高患者的社会支持，对于 TB 的管理和控制具有重要意义。
一项基于社区的、重复测量的试验。将 >65 岁的 TB 患者分配到干预组或对照组。干预组患者接受综合社会支持干预，而对照组患者仅接受健康教育。在基线以及干预的第 1、3 和 6 个月时测量患者的社会支持水平，以评估综合社会支持干预的效果。
共招募了 201 名患者参与研究。与对照组相比，干预组患者的社会支持在以下三个维度随时间显著增加：客观支持（β=0.15，P<0.05）、主观支持（β=0.32，P<0.05）和支持利用（β=0.16，P<0.05）。对照组的评分变化无统计学意义。
包括健康教育、心理治疗以及家庭和社区支持干预在内的社区干预方案可以提高老年 TB 患者的社会支持，优于单纯的健康教育。
ChiCTR-IOR-16009232。
