论文部分内容阅读
目的通过对社区肺结核病患者相关知识态度及行为进行基线调查,并分析相关的影响因素,为开展肺结核病防制提供基础资料。方法随机抽取会宁县会师镇社区卫生服务中心已建立治疗档案的肺结核病患者,由经专门培训的医生,采取面对面访谈的方式进行调查,对调查资料进行非参数检验,单因素及多因素logistic回归分析。结果肺结核病KAP总得分及格率53.6%,知识得分及格率59.8%,态度得分及格率62.9%,行为得分及格率52.6%;多因素logistic回归分析提示,知识得分与调查对象年龄和文化程度有关;态度得分与知识得分相关;行为得分与态度得分和家人关心程度有关。肺结核病相关知识的获得主要来源是医疗单位(67.7%),其次是电视(58.6%);结论基线调查显示肺结核患者的知识,态度和行为水平不高,揭示有必要针对社区肺结核病患者的健康需求开展综合防制为主的健康促进活动。干预重点可以放在较低文化层次人群,体力劳动者和有结核病家族史的人群。
Objective To conduct a baseline survey of relevant knowledge, attitude and behavior of patients with pulmonary tuberculosis in community and analyze the related influencing factors so as to provide the basic information for the prevention and control of tuberculosis. Methods Pulmonary tuberculosis patients who had established the treatment files were collected randomly from the community health service center of Huishi Town, Huining County. They were investigated by face-to-face interviews with specially trained doctors. Non-parametric tests were conducted on the survey data. Univariate and multivariate logistic regression analysis. Results The total score of KAP was 53.6%, the knowledge passing rate was 59.8%, the passing rate of attitude was 62.9% and the passing rate of behavior was 52.6%. Multivariate logistic regression analysis showed that knowledge score was related to the age and education level of the respondents. Attitude scores are related to knowledge scores; behavioral scores and attitude scores are related to the degree of family concern. Tuberculosis-related knowledge was mainly obtained from medical units (67.7%), followed by television (58.6%); Conclusion Baseline surveys showed poor knowledge, attitude and behavior among patients with tuberculosis, suggesting that it is necessary to target the health of community TB patients Demand for comprehensive prevention and control of health promotion activities. Interventions can focus on the lower literacy level, manual workers and people with a family history of tuberculosis.