高级检索

2020—2024年南充市老年肺结核患者的就诊延迟趋势及其影响因素

Trend of healthcare-seeking delay and its influencing factors among elderly patients with pulmonary tuberculosis in Nanchong City from 2020 to 2024

    摘要
  • 摘要:
    目的 分析2020—2024年南充市老年肺结核患者就诊延迟现状及影响因素。
    方法 选取2020—2024年肺结核患者(登记的现住址为南充市以及年龄≥60岁)852例为研究对象。收集患者基本信息和诊疗情况。分析患者就诊延迟时间和就诊延迟率的分布情况和变化趋势。采用多因素Logistic回归模型分析肺结核患者就诊延迟的影响因素。
    结果 老年肺结核患者就诊时间为30(11, 76) d。2020—2024年, 852例老年肺结核患者中，就诊延迟者共496例(58.22%)。2020—2024年就诊延迟率分别为51.59%(81/157)、53.45%(93/174)、58.79%(107/182)、61.40%(105/171)和65.48%(110/168), 总体呈上升趋势(χ趋势2=8.673, P=0.003)。不同性别及年龄段(60~69岁、70~79岁和80~98岁)患者的就诊延迟率均随年份增加而上升(P < 0.05)。多因素Logistic回归分析显示, 离退人员(OR=0.598, 95%CI: 0.429~0.833)、其他职业(OR=0.613, 95%CI: 0.459~0.820)、患者来源为健康检查(OR=0.442, 95%CI: 0.262~0.746)、无病原学结果(OR=0.561, 95%CI: 0.377~0.835)是就诊延迟的独立保护因素。患者来源为转诊(OR=2.184, 95%CI: 1.436~3.322)和追踪(OR=2.125, 95%CI: 1.414~3.195)、诊断分型为结核性胸膜炎(OR=2.328, 95%CI: 1.570~3.452)、病原学阳性(OR=2.368, 95%CI: 1.420~3.949)、有合并症(OR=1.260, 95%CI: 0.734~0.915, P=0.013)是就诊延迟的独立危险因素。
    结论 南充市老年肺结核患者就诊延迟率高，且呈上升趋势，其就诊延迟可能与职业类型、患者来源、诊断分型、病原学结果有关。

     

    Abstract:
    Objective To analyze the current status and influencing factors of healthcare-seeking delay among elderly patients with pulmonary tuberculosis in Nanchong City from 2020 to 2024.
    Methods A total of 852 patients with pulmonary tuberculosis (registered current residence in Nanchong City, age of ≥60 years) from 2020 to 2024 were selected as the study subjects. Basic patient information and clinical details were collected. The distribution and changing trends of healthcare-seeking delay time and delay rate among patients were analyzed. Multivariate Logistic regression model was used to analyze the influencing factors of delayed medical treatment in patients with pulmonary tuberculosis.
    Results The median treatment time for elderly patients with pulmonary tuberculosis was 30 (11, 76) days. From 2020 to 2024, among the 852 elderly patients with pulmonary tuberculosis, 496 (58.22%) experienced healthcare-seeking delay. The healthcare-seeking delay rates from 2020 to 2024 were 51.59% (81/157), 53.45% (93/174), 58.79% (107/182), 61.40% (105/171) and 65.48% (110/168), respectively, showing an overall upward trend (χtrend2 = 8.673, P=0.003). The healthcare-seeking delay rates among patients of different genders and age groups (60 to 69 years, 70 to 79 years, and 80 to 98 years) all increased with the years (P < 0.05). Multivariate Logistic regression analysis showed that retired personnel (OR=0.598, 95%CI, 0.429 to 0.833), other occupations (OR=0.613, 95%CI, 0.459 to 0.820), as well as the source of patients was health examination (OR=0.442, 95%CI, 0.262 to 0.746) and no etiological outcome (OR=0.561, 95%CI, 0.377 to 0.835) were independent protective factors for delayed medical visit. The source of patients was referral (OR=2.184, 95%CI, 1.436 to 3.322) and follow-up (OR=2.125, 95%CI, 1.414 to 3.195), as well as the diagnosis type was tuberculous pleurisy (OR=2.328, 95%CI, 1.570 to 3.452), positive etiology (OR=2.368, 95%CI, 1.420 to 3.949), and complications (OR=1.260, 95%CI, 0.734 to 0.915, P=0.013) were independent risk factors for delayed medical visit.
    Conclusion The rate of healthcare-seeking delay among elderly patients with pulmonary tuberculosis in Nanchong City is high and shows an upward trend, which may be related to occupation type, patient source, diagnostic classification, and etiological results.

     

    • HTML全文
    • 参考文献(24)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回