Compliance and influencing factors of home medication in patients with newly diagnosed pulmonary tuberculosis

ZHAO Jun

doi:10.19568/j.cnki.23-1318.2019.02.017

Abstract：Objective To understand the influencing factors of compliance of newly diagnosed pulmonary tuberculosis patients after home discharge, provide guidance for the development of individualized management measures.Methods One hundred and twenty newly diagnosed pulmonary tuberculosis cases were selected by convenience sampling method, compliance of home taking medicine was investigated by Morisky questionnaire, multivariate logistic regression analysis was conducted to determine the influencing factors of compliance.Results Of the 120 patients, 95 patients (79.2％) had good compliance with antituberculous drugs, poor compliance in 25 cases (20.8％).Univariate analysis showed that age, mode of medical payment, educational level, per capita monthly income of the family and types of medication were the main factors influencing compliance.The differences were statistically significant (P<0.05).Logistic regression analysis showed that education level (OR=0.463), per capita monthly inncome of family (OR=1.771) and types of medication (OR=1.980) were protective factors (P<0.05).Patients with high education level and family monthly income had higher medication compliance than those with low education level and family monthly icome.The compliance of patients taking type 2 drugs was higher than that of patients taking type 3 drugs, but there were significant differences in age and mode of medical payment (P<0.05).Conclusion The compliance of patients with newly diagnosed pulmonary tuberculosis after home discharge is influenced by many factors.It is necessary to reduce the unstandardized behavior in the treatment of drug treatment by individualized measures, improve the treatment effect of the initial treatment of tuberculosis and reduce the occurrence of multi drug resistant tuberculosis.