背景:結(jié)核病是由結(jié)核分枝桿菌所引起的一種慢性呼吸道傳染病,是嚴(yán)重威脅人類健康的全球重大公共衛(wèi)生問(wèn)題之一。2017年WHO全球結(jié)核病報(bào)告顯示,索馬里是全球結(jié)核病疾病負(fù)擔(dān)最高的7個(gè)國(guó)家之一。結(jié)核病每年導(dǎo)致約1000萬(wàn)人健康不良,是全球十大死亡原因之一。過(guò)去五年內(nèi),結(jié)核病是單一傳染因素導(dǎo)致死亡的主要原因,高于艾滋病毒/艾滋病。目的:了解索馬里加爾卡尤市結(jié)核病的流行現(xiàn)狀和特點(diǎn),分析影響結(jié)核病患者治療結(jié)局的主要危險(xiǎn)因素,為優(yōu)化結(jié)核病防治策略提供理論依據(jù)。通過(guò)中國(guó)疾病預(yù)防控制中心信息系統(tǒng),獲取江蘇省南京市2015～2017年結(jié)核病疫情數(shù)據(jù),分析南京市結(jié)核病疫情變化趨勢(shì)和特征。方法:對(duì)2014年1月至2017年1月在索馬里加爾卡尤市初級(jí)衛(wèi)生保健中心的結(jié)核病患者和2015～2017年南京市結(jié)核病患者資料進(jìn)行回顧性調(diào)查研究。采用EpiData 3.1軟件建立數(shù)據(jù)庫(kù)錄入數(shù)據(jù),應(yīng)用SPSS 20.0進(jìn)行統(tǒng)計(jì)學(xué)分析。采用卡方檢驗(yàn)、logistic回歸探討影響結(jié)核病治療結(jié)局的主要危險(xiǎn)因素,分析南京市2015～2017年結(jié)核病疫情變化趨勢(shì)特征。結(jié)果:共調(diào)查2014～2017年索馬里加爾卡尤市初級(jí)衛(wèi)生保健中心結(jié)核病... 

【文章來(lái)源】：東南大學(xué)江蘇省 211工程院校 985工程院校 教育部直屬院校

【文章頁(yè)數(shù)】：86 頁(yè)

【學(xué)位級(jí)別】：碩士

【文章目錄】：
ACKNOWLEDGEMENTS
中文摘要
abstract
LIST OF ACRONYMS
第一章 Chapter One
    Introduction
    1.1 Background of the study
        1.1.1 TB globally today
    1.2 Tuberculosis in Africa and Asia
    1.3 Tuberculosis in Somalia
    1.4 Tuberculosis in Galkayo
    1.5 Statement of the Problem
    1.6 Purpose of the Study
    1.7 Objectives of the Study
    1.8 Scope of the Study
    1.9 Significance of the Study
    1.10 Definition of key concepts
    1.11 The Conceptual Framework
    Concept frame work
第二章 Chapter Two Literature Review
    Introduction
    2.1 Purpose of the literature review
    2.2 The factors affecting treatment outcome of tuberculosis
        2.2.1 Socio-demographic and clinical factors associated with unfavorable outcome
        2.2.2 Risk behavior factors
        2.2.3 Socio-economic factors
        2.2.4 Type of smear factors
        2.2.5 Delaying to diagnosis and severity factors
        2.2.6 Clinical symptoms factors
        2.2.7 Co-morbidity factors
        2.2.8 General factors associated unsuccessful TB outcome
第三章 Chapter Three Research design and methodology
    Introduction
    3.1 Research design
    3.2 Study population and sampling
        3.2.1 Population
        3.2.2 Sampling
        3.2.3 Two types of data
        3.2.4 Sampling Procedures
    3.3 The variables of this study
    3.4 Primary data
    3.5 Data collection methods
    3.6 Secondary data
    3.7 Data Analysis
    3.8 Ethical Consideration
第四章 Chapter Four Results and analysis
    Introductions
    4.1 Results
    4.2 Part 1
        4.2.1 Socio demographic and Clinical factors
        4.2.2 Treatment outcome
        4.2.3 Definition of treatment outcome terms
        4.2.4 Univariate analysis
        4.2.5 Multivariate analysis
    4.3 Part 2
        4.3.1 Factors associated with risk of tuberculosis death
        4.3.2 Fisher’s exact test.
        4.3.3 Treatment outcome based on years in Galkayo
        4.3.4 The number of case within age groups in galkayoSomalia TB
        4.3.5 cases difference between gender TB in Galkayo Somalia
        4.3.6 HIV and TB co infection in Somalia
    4.4 Nanjing tuberculosis period of 3 years compared to galkayo
第五章 Chapter Five Discussion
    Introductions
    5.1 Discussion
    5.2 Factors affecting treatment outcome
        5.2.1 Testing the Hypothesis
    5.3 Limitation
    5.4 Conclusions
    5.5 Recommendation
Reference
Appendix 1
DEDICATION


【參考文獻(xiàn)】：
期刊論文
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[2]臺(tái)北結(jié)核病患者治療轉(zhuǎn)歸:與中斷治療2個(gè)月和死亡相關(guān)的因素[J]. C-Y.Chiang,J-J.Lee,D.A.Enarson,K-T.Luh,徐漢成,王雪靜.  國(guó)際結(jié)核病與肺部疾病雜志(中文版). 2010(02)



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