耐药结核病患者结核病防治核心信息知晓率调查分析  

Analysis on Key Information Awareness Rate of Tuberculosis Prevention and Control in Patients with Drug-resistant Tuberculosis

作　　者：姜晓颖[1] 柳芳超 梁建琴[2] 杨坤云 阚晓宏 田明 刘锦程 崔文玉 刘文 余德美 谭守勇[10] 范琳[11] 唐神结[1] 刘玉琴 梁煊 邱丽华 邵世峰[15] 高飞 接力 高孟秋[1] 卜建玲[1] 蔡宝云[1] 马丽萍[1] 刘智[18] 徐麟 杜娟 卢水华[21] 刘宇红[1] 李亮[1] 李琦[1] Jiang Xiaoying;Liu Fangchao;Liang Jianqin;Yang Kunyun;Kan Xiaohong;Tian Ming;Liu Jincheng;Cui Wenyu;Liu Wen;Yu Demei;Tan Shouyong;Fan Lin;Tang Shenjie;Liu Yuqin;Liang Xuan;Qiu Lihua;Shao Shifeng;Gao Fei;Jie Li;Gao Mengqiu;Bu Jianling;Cai Baoyun;Ma Liping;Liu Zhi;Xu Lin;Du Juan;Lu Shuihua;Liu Yuhong;Li Liang;Li Qi(Beijing Chest Hospital,Capital Medical University,Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京胸科医院北京市结核病胸部肿瘤研究所,101149 [2]解放军总医院第八医学中心全军结核病研究所 [3]湖南省结核病防治所耐药专科 [4]安徽省胸科医院 [5]成都市公共卫生临床医疗中心 [6]陕西省人民医院 [7]长春市传染病医院 [8]山东省枣庄市王开传染病医院 [9]西安市胸科医院结核内科 [10]广州市胸科医院 [11]同济大学附属上海市肺科医院结核科 [12]黑龙江省传染病防治院 [13]沈阳市第五人民医院 [14]山东大学附属山东省胸科医院五病区 [15]天津市海河医院 [16]内蒙古自治区第四医院 [17]新疆维吾尔自治区胸科医院结核二科 [18]深圳市第三人民医院肺病三科 [19]宁夏回族自治区第四人民医院呼吸一科 [20]贵州医科大学附属医院呼吸科 [21]上海市公共卫生临床中心结核科

出　　处：《结核病与胸部肿瘤》2020年第1期24-35,共12页Tuberculosis and Thoracic Tumor

基　　金：“十一五”国家科技重大专项(2008ZX10003014);“十二五”国家科技重大专项(2013ZX10003008);“十三五”国家科技重大专项(2018ZX10722301)。

摘　　要：目的调查耐药结核病患者结核病防治核心信息知晓情况,为有效开展耐药结核病防治健康教育工作提供依据。方法对2013年3月至2014年1月从全国20家医院和结核病防治机构纳人的293例耐药结核病患者进行结核病防治核心信息知晓情况问卷调查,调查内容包括患者的基本信息、结核病防治核心信息知晓情况和患者临床报告情况;发出问卷293份,有效问卷293份,有效率为100.0%。其中223例(76.1%)被调查者自报了解结核病相关核心信息,对该群患者进一步进行结核病防治核心信息知晓情况调查。对调查对象的一般情况、结核病防治核心信息知晓情况进行统计分析,并进一步采用logistic回归分析对影响知晓率的因素进行分析。结果76.1%(223/293)的耐药结核病患者了解结核病相关知识,有23.9%(70/293)的患者尚不了解。了解者对11条结核病防治核心信息总知晓率为70.1%(1720/2453)。结核病防治核心信息知晓情况单因素分析结果显示,不饮酒或偶尔饮酒(70.3%,1648/2343)有结核病病史(72.8%,905/1243)、结核病治疗次数为1次及以上(72.6%,878/1210)、结核病病程1年及以上(72.6%,895/1232)的耐药结核病患者,相对于经常饮酒(54.5%,60/10)、无结核病病史(66.4%,803/1210)、结核病治疗次数为0次(66.8%,830/1243)、结核病病程1年以下(66.6%,813/1221)的耐药结核病患者知晓率较高,差异均有统计学意义(χ2值分别为12.61、12.04、9.88、10.68,P值分别为0.002、<0.001、0.007、0.005)。多因索非条件logistic回归分析结果显示,不饮酒的患者结核病防治核心信息知晓率是经常饮酒患者的1.97倍(95%CI:1.33~2.92,P=0.001),有结核病病史的患者结核病防治核心信息知晓率是无结核病病史患者的1.36倍(95%CI:1.14~1.61,P=0.001)。结论耐药结核病患者结核病防治核心信息总知晓率较低,应针对经常饮酒、无结核病病史、无结核病治疗史、结核病病程1年以下等耐�Objective To investigate the awareness of key information of tuberculosis prevention and control among drug-resistant tuberculosis patients,and to provide direction and basis for more effective health education on drug-resistant tuberculosis prevention and control.Methods Two hundred and ninety-three drug-resistant tuberculosis patients from 20 hospitals and tuberculosis prevention and control institutions from March 2013 to January 2014 were investigated by a unifed questionnaire.The investigation included basic information of patients,knowledge of key information of tuberculosis prevention and treatment,and clinical reports of patients.Two hundred and ninety-three questionnaires were sent out,and 293 were efective,with an effective rate of 100.0%,223(76.1%)patients reported to kmnow the key information of tuberculosis,and further investigation on the awareness of key information of tuberculosis prevention and control was carried out in this group of patients.Statistical analysis was conducted on the general situation of the respondents and the awareness of key information of tuberculosis prevention and control,and further logistic regression analysis was used to analyze the infuencing factors of awareness rate.Results 76.1%(223/293)of dnug resistant tuberculosis patients reported knowing about tuberculosis,while 23.9%(70/293)reported not knowing about tuberculosis.The overall awareness rate of 11 key information of tuberculosis prevention and control was 70.1%(1720/2453).The univariate analysis of tuberculosis knowledge awareness rate showed that the awareness rate of drug resistant patients did not drink or occasionally drink(70.3%,1648/2343),with tuberculosis history(72.8%,905/1243),with tuberculosis treatment(72.6%,878/1210)and with tuberculosis course for one year or more(72.6%,895/1232)had higher awareness rate,than those usually drunk(54.5%,60/110)(χ2=12.61,P=0.002),no history of tuberculosis(66.4%,803/1210)(χ2=12.04,P<0.001),no tuberculosis treatment(66.8%,830/1243)(x2=9.88,P=0.007)and with tuberculosi

关 键 词：结核 肺 结核 抗多种药物性 健康教育 健康知识 态度 实践 问卷调查 数据说明 统计 

分 类 号：R52[医药卫生—内科学]