尼日利亚东南部一家教学医院中患者对直接督导下的短程化疗肺结核治疗策略的遵从性。
Compliance of patients to DOTS tuberculosis treatment strategy in a South-East Nigeria Teaching Hospital.
机构信息
Department of Community Medicine, University of Nigeria, Enugu.
UNICEF Field Office, Enugu, Nigeria.
出版信息
Afr Health Sci. 2022 Sep;22(3):599-606. doi: 10.4314/ahs.v22i3.64.
INTRODUCTION
Tuberculosis ranks the second highest cause of adult mortality after HIV in the world. The Directly Observed Treatment Short course (DOTS) strategy is aimed at following up on patients' adherence to treatment regimen.
OBJECTIVES
To assess the level of compliance of patients to the DOTS strategy.
MATERIALS AND METHODS
A retrospective study of patients seen at the University of Nigeria Teaching Hospital from January, 2013 to April, 2015. Relevant information was collected from patients' folders. Data analysis was with the SPSS and results represented in tables.
RESULTS
111 (50%) patients were compliant with their DOTS treatment plan while 107 (41.3%) were non-compliant. Ninety-two patients (41.4%) were successfully treated and discharged home, 7 patients (3.2%) referred to other centres. The proportion of patients regarding their marital status, occupation, educational level and address that was compliant to the DOTS TB reflected varied patterns.
CONCLUSION/ RECOMMENDATIONS: The study reflected poor to average compliance to DOTS. There is a need for creation of more DOTS centres; regular surveys and updates on DOTS TB strategy should be the norm rather than the exception.
简介
结核病是世界上继艾滋病之后导致成年人死亡的第二大病因。直接观察治疗短期疗程（DOTS）策略旨在监测患者对治疗方案的遵守情况。
目的
评估患者对 DOTS 策略的遵守程度。
材料和方法
这是一项回顾性研究，研究对象为 2013 年 1 月至 2015 年 4 月在尼日利亚大学教学医院就诊的患者。从患者的文件夹中收集相关信息。使用 SPSS 进行数据分析，结果以表格形式呈现。
结果
111 名（50%）患者遵守了他们的 DOTS 治疗计划，而 107 名（41.3%）患者不遵守。92 名患者（41.4%）成功接受治疗并出院回家，7 名患者（3.2%）被转介到其他中心。关于婚姻状况、职业、教育程度和住址等方面的患者遵守 DOTS 结核病的比例呈现出不同的模式。
结论/建议：该研究反映出 DOTS 的遵守情况较差到一般。有必要建立更多的 DOTS 中心；定期进行 DOTS 结核病策略的调查和更新应该成为常态，而不是例外。
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