目的:探讨难治性肺结核患者的日常自我管理水平与个体因素的相关性,为提高患者自我管理行为能力而采取护理干预措施提供理论依据。方法:采用便利抽样方法,选取2014年5月~2015年7月在结防所就诊已确诊为难治性肺结核患者68例,采用自行设计的“难治性肺结核患者基本情况调查表”以及“日常自我管理水平评价表”进行问卷调查。结果:难治性肺结核患者的日常自我管理水平偏低,有31例(45.59%)处于差水平状态,八个维系得分排序中以饮食营养、合理休息、生活习惯、定期复查较前,而运动休闲、心理调节、消毒隔离、遵医用药较后,其中心理调节、消毒隔离两项最低;日常自我管理水平受个体因素如年龄、文化层次、家庭模式、居住地域等6方面因素的影响(P<0.01)。结论:加强患者日常自我管理很有必要,不同个体需采取不同的健康教育活动,促使患者自觉采纳有益于自我健康及他人健康的行为,减少传染病的传播,促进全民健康。 Objective: To explore the correlation between daily self-management level and individual factors in patients with refractory pulmonary tuberculosis and to provide theoretical basis for nursing interventions to improve self-management ability of patients. Methods: Convenient sampling method was used to select 68 patients diagnosed as refractory tuberculosis from July 2014 to July 2015 in our department of prevention and treatment. The self-designed “Questionnaire about the basic situation of patients with refractory pulmonary tuberculosis” and “ ”Daily self-management level evaluation form " questionnaire. Results: The daily self-management level of patients with refractory pulmonary tuberculosis was low, with 31 cases (45.59%) being in poor level. The eight maintenance scores ranked in order of diet nutrition, reasonable rest, living habits and regular review before exercise. The level of daily self-management is influenced by six factors such as age, level of culture, family mode, living area, etc. (P <0.01). Conclusion: It is necessary to strengthen daily self-management of patients. Different individuals need to take different health education activities to encourage patients to consciously adopt behavior beneficial to self-health and others’ health, reduce the spread of infectious diseases and promote universal health.