THE IMPACT OF INTENSIFIED SUPERVISORY ACTIVITIES ON TUBERCULOSIS TREATMENT
THE IMPACT OF INTENSIFIED SUPERVISORY ACTIVITIES ON TUBERCULOSIS TREATMENT
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DOI：
10.1016/0962-8479(93)90053-z
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发表时间：
1993-08-01
期刊：
影响因子：
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通讯作者：
SHIMAO, T
中科院分区：
文献类型：
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作者：
JIN, BW;KIM, SC;SHIMAO, T
为了确定结核病工作人员的积极性对改善治疗方案结果的重要性，进行了一项基于卫生分中心的随机对照试验。将来自7个卫生中心的1 300名新发现的肺结核患者分为研究组和对照组，以卫生分中心地区为抽样单位。在研究组中，通过特别的定期会议和更密切的监督来加强工人的积极性，而在对照组中，则遵循通常的程序。在研究领域的治疗表现得到了显著改善：研究组的治疗完成率为78.8%，而对照组为65.2%。完成治疗者的细菌学转换率分别为91.9%和62.2%，总有效率分别为75.2%和45.8%。除了改善治疗外，后续病例检查也显示出显著提高的表现。虽然这项研究是在使用传统疗法的设施中进行的，这些疗法最近已被短期疗法所取代，但研究结果仍然清楚地表明，激励该领域的人员以实现更好的病例管理的重要性。
A Health Subcentre-based randomized controlled trial was conducted in order to determine the importance of the motivation of the tuberculosis personnel in improving the results of a treatment programme. A total of 1300 newly detected tuberculosis patients from 7 Health Centres were divided into study and control groups using the Health Subcentre areas as sampling units. In the study group, worker motivation was intensified through special regular sessions and closer supervision, while in the control group the usual procedures were followed. Treatment performance was remarkably improved in the study areas: treatment completion rate was 78.8% in the study group, compared with 65.2% in the control group. Bacteriological conversions among those having completed the treatment were 91.9% and 62.2% respectively, and overall efficacy was 75.2% and 45.8%, respectively. In addition to improved treatment, the follow-up case examinations also showed markedly increased performance. Although this study was done in facilities using conventional regimens which have been replaced with short-course regimens more recently, the study results still clearly indicate the importance of motivating personnel in the field to attain better case management.