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目的了解上海市闸北区糖尿病患者对结核病防治相关知识的了解情况,并探索有效的健康教育方法。方法随机抽取上海市闸北区3个街道在管糖尿病患者各150名,随机分为干预组和对照组,对干预组采用结核病防治知识手册进行为期半年的干预,比较干预前后知晓率情况变化。结果干预前糖尿病患者对结核病核心知识总体知晓率为31.7%,对结核病防治定点治疗了解最低,仅为1.3%。干预后知晓率有有显著提高,上升为89.3%,显著高于对照组。糖尿病患者对两病相关性认识不足,56.4%的人不知道是否有关系,28.9%的人认为没关系,但患者对两病相关知识的了解需求最高,79.1%的的患者想了解这类知识,52.1%的患者想了解结核病防治知识。结论糖尿病患者目前对结核病防治知识了解严重不足,但该人群对健康教育信息传播有较高的接受意愿,简单的健康教育方法就能达到较好的知识提升效果,此外目前糖尿病患病人群已有较成熟的就诊随访体系,结合这一体系开展结核病健康知识传播有很高的必要性和可行性。
Objective To understand the knowledge of tuberculosis prevention and control among diabetic patients in Zhabei District of Shanghai and to explore effective health education methods. Methods A total of 150 diabetic patients with diabetes in each of the three streets of Zhabei District of Shanghai were randomly divided into intervention group and control group. Interventions on tuberculosis prevention and treatment in intervention group were conducted for six months, and the changes of awareness rate before and after intervention were compared. Results Before intervention, the overall awareness rate of core knowledge of TB patients was 31.7%, and the lowest awareness of fixed-point treatment of TB patients was only 1.3%. The awareness rate after intervention increased significantly, rising to 89.3%, significantly higher than the control group. There was a lack of understanding on the correlation between the two diseases in 56.4% of the patients with diabetes, 28.4% of the people did not know whether it was related or not, but the patients had the highest demand for knowledge about the two diseases and 79.1% 52.1% of patients want to know about tuberculosis prevention and treatment. Conclusions There is a serious lack of knowledge about prevention and treatment of tuberculosis in diabetics. However, this population has a higher willingness to accept the information dissemination of health education. A simple health education method can achieve better knowledge promotion effect. In addition, More mature follow-up visits system, combined with this system to carry out the spread of knowledge of tuberculosis health there is a high necessity and feasibility.