江汉大学学报(自然科学版) ›› 2011, Vol. 39 ›› Issue (2): 79-82.

• ·医学· • 上一篇    下一篇

肺结核可疑症状者结核病知识、 态度、 行为调查分析

吕伟,李岚,段琼红   

  1. 武汉市结核病防治所, 湖北 武汉 430030
  • 收稿日期:2011-03-09 出版日期:2011-03-20 发布日期:2013-12-30
  • 作者简介:吕伟(1974—),男,安徽歙县人,主治医师,主要从事呼吸内科临床.

Survey of Knowledge, Attitude and Behaviour Among Suspected Tuberculosis

LV Wei, LI Lan, DUAN Qiong-hong   

  1. Wuhan Institute for Tuberculosis Control, Wuhan 430030, Hubei, China
  • Received:2011-03-09 Online:2011-03-20 Published:2013-12-30

摘要: 目的:了解就诊的肺结核可疑症状者的结核病知识、 态度及行为现状, 为进一步有针对性地开展结核病健康教育提供依据. 方法:2010年7-9月在武汉市结核病防治所和华中科技大学附属同济医院2个三甲医院的呼吸科就诊的人群中筛选出连续咳嗽、 咳痰两周以上或咯血、 痰中带血者作为调查对象. 结果就诊的肺结核可疑症状者的核心信息总知晓率为63.9%, 调查对象对于肺结核的传染途径知晓率较高, 为78.8%, 但是对于国家关于肺结核的检查和治疗的免费政策知晓率较低, 仅为44.8%.核心信息单因素和多因素分析结果显示, 户籍(OR=3.511,95%CI:1.579~7.805)、 文化程度(OR=2.302, 95%CI:1.027~5.16)、 婚姻状况(OR=4.135, 95%CI:1.832~9.337)是就诊的肺结核可疑症状者核心信息知晓情况的主要影响因素.调查对象对于肺结核的态度行为上, 38.7%的人觉得结核病是一种羞耻或受人歧视的疾病, 34.0%的人会因患病而感到害怕或绝望. 结论武汉市就诊的肺结核可疑症状者的肺结核核心知识知晓率还较低, 要根据户籍、 文化程度及婚姻状况的不同, 有针对性地采取健康教育措施.

关键词: 肺结核, 知识、态度、行为, 健康教育

Abstract: Objective: To investigate the status of knowledge, attitude and behaviour of tuberculosis control among suspected tuberculosis in Wuhan city, and to provide the reference to tuberculosis education.Methods: The outpatient who with continuous cough, sputum more than two weeks or hemoptysis, sputum with blood were selected in the Wuhan Institute for Tuberculosis Control and the Tongji Hospital from Jul., 2010 to Sep., 2010.Results: The total awareness rate of key messages on tuberculosis control among surveyed people was 63.9%, the awareness rate of transmission was higher(78.8%), while the awareness rate of national policies on examination and cure on tuberculosis for free was lower(44.8%). Univariate and multivariate analysis showed that, household registration(OR=3.511, 95%CI1.579~7.805), education level (OR=2.302, 95%CI1.027~5.16), marriage status (OR=4.135, 95%CI1.832~9.337) were the main impact factors on the key messages awareness. About the attitude and behaviour of tuberculosis control, 38.7% had stigma of tuberculosis, 34.0% were afraid of tuberculosis.ConclusionThe awareness rate of tuberculosis control is low among suspected tuberculosis outpatient in Wuhan city, it is necessary to conduct health education according to household registration, education level, and marriage status.

Key words: tuberculosis, knowledge, attitude, behaviour, health education

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