CLINICAL AND SOCIAL CHARACTERISTICS OF PENAL INSTITUTIONS INMATES WITH NEWLY DIAGNOSED PULMONARY TUBERCULOSIS
Rubrics: PHTHISIOLOGY
Authors:
1.
Krasnoyarsk V.F. Voino‐Yasenetsky State Medical University
(Department of Tuberculosis with a Course of Postgraduate Education, Head)
Krasnoyarsk, Krasnoyarsk, Russian Federation
Krasnoyarsk, Krasnoyarsk, Russian Federation
2.
Medical Unit N 24
(Head)
Krasnoyarsk, Krasnoyarsk, Russian Federation
Krasnoyarsk, Krasnoyarsk, Russian Federation
3.
Medical Unit N 24
(Pulmonary Tuberculosis Department N 6, Head)
Krasnoyarsk, Krasnoyarsk, Russian Federation
Krasnoyarsk, Krasnoyarsk, Russian Federation
4.
Medical Unit N 24
(Pulmonary Tuberculosis Department N 6, Phthisiologist)
Krasnoyarsk, Krasnoyarsk, Russian Federation
Krasnoyarsk, Krasnoyarsk, Russian Federation
5.
Krasnoyarsk V.F. Voino‐Yasenetsky State Medical University
(Research Laboratory of Medical Cybernetics and Management in Health Care Service, Head)
Krasnoyarsk, Krasnoyarsk, Russian Federation
Krasnoyarsk, Krasnoyarsk, Russian Federation
Type:
Article
Pages:
from 68
to 73
Status:
Published
Received:
01.11.2017
Accepted:
02.11.2017
Published:
02.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
tuberkulez legkih, vyyavlenie, faktory riska, penitenciarnye uchrezhdeniya
Abstract (English):
Rasprostranenie tuberkuleza v uchrezhdeniyah penitenciarnoy sistemy imeet znachitel'noe vliyanie na epidemicheskuyu situaciyu v strane. Cel'yu issledovaniya yavilos' izuchenie kliniko-social'noy harakteristiki vpervye vyyavlennyh bol'nyh tuberkulezom sredi speckontingenta penitenciarnyh uchrezhdeniy. Proanalizirovany dannye o 107 vpervye vyyavlennyh bol'nyh tuberkulezom legkih sredi lic, soderzhaschihsya v penitenciarnyh uchrezhdeniyah v 2014 godu. Izuchena vozrastnaya struktura pacientov, ih obrazovatel'nyy uroven', kolichestvo sudimostey, nalichie sem'i, vrednyh privychek i soputstvuyuschih zabolevaniy, puti vyyavleniya tuberkuleza legkih, struktura klinicheskih form i harakteristika specificheskogo processa. Ustanovleno, chto v usloviyah penitenciarnoy sistemy tuberkulezom chasche boleyut neodnokratno osuzhdennye lica s nizkim urovnem obrazovaniya, i v bol'shinstve sluchaev zabolevanie razvivaetsya v pervye dva goda nahozhdeniya v mestah lisheniya svobody. Obnaruzhennyy nizkiy uroven' medicinskoy gramotnosti pacientov naryadu s otsutstviem sem'i bolee chem v 2/3 sluchaev snizhaet motivaciyu i priverzhennost' k lecheniyu. Sdelan vyvod o neobhodimosti provedeniya sredi lic, nahodyaschihsya v penitenciarnyh uchrezhdeniyah, sanitarno-prosvetitel'skoy raboty po tuberkulezu v dvuh napravleniyah: vo-pervyh, oznakomlenie zdorovyh lic s klinicheskimi simptomami tuberkuleza legkih s akcentom na neobhodimost' obratit'sya za medicinskoy pomosch'yu srazu posle ih vozniknoveniya; vo-vtoryh, postoyannaya celenapravlennaya rabota po formirovaniyu priverzhennosti k lecheniyu dlya umen'sheniya sluchaev otkaza ot nego ili ego otdel'nyh vidov.
Rasprostranenie tuberkuleza v uchrezhdeniyah penitenciarnoy sistemy imeet znachitel'noe vliyanie na epidemicheskuyu situaciyu v strane. Cel'yu issledovaniya yavilos' izuchenie kliniko-social'noy harakteristiki vpervye vyyavlennyh bol'nyh tuberkulezom sredi speckontingenta penitenciarnyh uchrezhdeniy. Proanalizirovany dannye o 107 vpervye vyyavlennyh bol'nyh tuberkulezom legkih sredi lic, soderzhaschihsya v penitenciarnyh uchrezhdeniyah v 2014 godu. Izuchena vozrastnaya struktura pacientov, ih obrazovatel'nyy uroven', kolichestvo sudimostey, nalichie sem'i, vrednyh privychek i soputstvuyuschih zabolevaniy, puti vyyavleniya tuberkuleza legkih, struktura klinicheskih form i harakteristika specificheskogo processa. Ustanovleno, chto v usloviyah penitenciarnoy sistemy tuberkulezom chasche boleyut neodnokratno osuzhdennye lica s nizkim urovnem obrazovaniya, i v bol'shinstve sluchaev zabolevanie razvivaetsya v pervye dva goda nahozhdeniya v mestah lisheniya svobody. Obnaruzhennyy nizkiy uroven' medicinskoy gramotnosti pacientov naryadu s otsutstviem sem'i bolee chem v 2/3 sluchaev snizhaet motivaciyu i priverzhennost' k lecheniyu. Sdelan vyvod o neobhodimosti provedeniya sredi lic, nahodyaschihsya v penitenciarnyh uchrezhdeniyah, sanitarno-prosvetitel'skoy raboty po tuberkulezu v dvuh napravleniyah: vo-pervyh, oznakomlenie zdorovyh lic s klinicheskimi simptomami tuberkuleza legkih s akcentom na neobhodimost' obratit'sya za medicinskoy pomosch'yu srazu posle ih vozniknoveniya; vo-vtoryh, postoyannaya celenapravlennaya rabota po formirovaniyu priverzhennosti k lecheniyu dlya umen'sheniya sluchaev otkaza ot nego ili ego otdel'nyh vidov.
Keywords:
tuberkulez legkih, vyyavlenie, faktory riska, penitenciarnye uchrezhdeniya
tuberkulez legkih, vyyavlenie, faktory riska, penitenciarnye uchrezhdeniya
1. Spislit bol'nye tuberkulezom
