提高奎宁+四环素治疗疟疾的依从性：柬埔寨村庄健康教育干预措施的评估
Improving compliance with quinine + tetracycline for treatment of malaria: evaluation of health education interventions in Cambodian villages.
作者信息
Denis M B
机构信息
Ministry of Health National Malaria Centre, Phnom Penh, Cambodia.
出版信息
Bull World Health Organ. 1998;76 Suppl 1(Suppl 1):43-9.
To improve compliance with a 7-day quinine + tetracycline regimen against malaria, two health education interventions were tested on populations in two separate groups of villages. In one group, the use of posters and video improved the compliance rates from 0.5% to 20% (20% effectiveness; 95% confidence interval (CI), 13-26%); in the other, where posters alone were used, full compliance changed from 6% to 11% (6% effectiveness; 95% CI, 0-12%). The improved compliance in the first group occurred mainly among those who went to health practitioners (effectiveness 40%) rather than drug vendors (effectiveness 2%), although this could not be attributed to differences in the advice they gave to patients. After the poster plus video intervention, more patients bought quinine + tetracycline and received correct advice encouraging the use of a full course; however, not all of them actually completed the full course by self-administration.
为提高针对疟疾的7日奎宁+四环素治疗方案的依从性，在两个不同村庄组的人群中对两种健康教育干预措施进行了测试。在一组中，使用海报和视频使依从率从0.5%提高到了20%（有效率20%；95%置信区间(CI)，13 - 26%）；在另一组中，仅使用海报，完全依从率从6%变为11%（有效率6%；95%CI，0 - 12%）。第一组依从性的提高主要发生在去看医疗从业者的人群中（有效率40%），而非从药品供应商处购药的人群（有效率2%），尽管这不能归因于他们给患者的建议存在差异。在海报加视频干预之后，更多患者购买了奎宁+四环素，并得到了鼓励全程用药的正确建议；然而，并非所有患者都实际通过自我给药完成了全程治疗。
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