初治病原学阳性肺结核患者结核病防治核心信息知晓情况调查  

Investigation and analysis of awareness rate of core knowledge of tuberculosis prevention and control of newly diagnosed pathogenic positive pulmonary tuberculosis patients

作　　者：姜晓颖[1] 张文 高孟秋[1] 张治国[3] 弭凤玲[1] Jiang Xiaoying;Zhang Wen;Gao Mengqiu;Zhang Zhiguo;Mi Fengling(Science and Technology Department,Beijing Chest Hospital,Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China;Community Health Service Center of Tiangongyuan Sub District,Daxing District,Beijing 102609,China;Tuberculosis Prevention and Control Institute of Changping District,Beijing 102202,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科技处,北京101149 [2]北京市大兴区天宫院街道社区卫生服务中心,北京102609 [3]北京市昌平区结核病防治所,北京102202

出　　处：《中国防痨杂志》2023年第8期794-800,共7页Chinese Journal of Antituberculosis

基　　金：北京市科技计划课题(D181100000418002)。

摘　　要：目的:调查初治病原学阳性肺结核患者结核病防治核心信息知晓情况。方法:采用前瞻性研究方法,于2019年1月至2023年1月连续纳入首都医科大学附属北京胸科医院、北京市昌平区结核病防治所、北京市大兴区疾病预防控制中心等3家市级结核病防治机构(专科医院)符合“居家治疗管理模式”条件的初治病原学阳性肺结核患者作为调查对象,共计202例。采用自行设计的调查问卷,对调查对象在首次就诊时进行面对面询问式调查,收集调查对象基本情况、既往病史、本次诊断治疗情况。对自报了解结核病相关核心信息的调查对象进一步进行结核病防治核心信息知晓情况调查。共发放问卷202份,回收有效问卷202份,问卷有效率为100%。统计调查对象结核病防治核心信息知晓情况,分析影响其结核病防治核心信息知晓情况的因素。结果:202例调查对象中,191例(94.55%)自报了解结核病,其对8条结核病防治核心信息总知晓率为70.42%(1076/1528)。单因素分析显示,15~29岁组总知晓率最高,为76.69%(227/296),45~59岁组总知晓率最低,为65.20%(193/296),差异有统计学意义(χ^(2)=19.236,P<0.001)。非本地户籍者(74.20%,558/752)、本科及以上学历者(77.02%,191/248)、不饮酒(73.15%,673/920)和过去饮现在不饮者(70.09%,342/488)总知晓率均明显高于本市户籍者(67.52%,524/776)、中学(71.56%,750/1048)和小学及以下学历者(60.78%,141/232)及现在饮酒者(55.83%,67/120),差异均具有统计学意义(χ^(2)值分别为8.236、16.213、15.589,P值分别为<0.005、<0.001、<0.001)。多因素logistic回归分析结果显示,有慢性病的患者和45~59岁的患者结核病防治核心信息知晓可能性分别是无慢性病患者和15~29岁患者的30.0%(95%CI:9.1%~98.8%)和18.5%(95%CI:3.5%~99.4%)。调查对象获得结核病防治知识的信息渠道主要是媒体(如网络/电视/广播/传单),选择率为53.93%(103/191)。结论:初治病�Objective:To investigate the awareness of the core knowledge of tuberculosis prevention and control among newly diagnosed pathogenic positive pulmonary tuberculosis patients.Methods:Using the prospective cohort study method,202 newly diagnosed pathogenic positive pulmonary tuberculosis patients who met the conditions of the“home treatment management model”and were included in three municipal tuberculosis prevention and control institutions(specialized hospitals),including the Beijing Chest Hospital affiliated to Capital Medical University,the Changping District Tuberculosis Prevention and Control Institute of Beijing,and the Daxing District Center for Disease Prevention and Control of Beijing,from January 2019 to January 2023,were investigated.A self-designed survey questionnaire was used to conduct a face-to-face inquiry survey on the survey subjects at their first visit,collecting their basic information,past medical history,and current diagnosis and treatment status.The respondents who reported that they knew tuberculosis related core knowledge were further investigated the awareness of tuberculosis prevention and control core knowledge.A total of 202 questionnaires were distributed and 202 valid questionnaires were collected,with a questionnaire effectiveness rate of 100%.The general situation of the respondents and the awareness of tuberculosis prevention and control core knowledge were statistically analyzed,and the factors affecting the awareness rate were further analyzed by logistic regression.Results:Of the 202 respondents,191(94.55%)reported that they knew about tuberculosis,and the total awareness rate of the 8 core knowledge of tuberculosis prevention and control was 70.42%(1076/1528).Univariate analysis showed that the total awareness rate was the highest in the 15-29 year old group(76.69%,227/296),and the lowest in the 45-59 year old group(65.20%,193/296),with a statistically significant difference(χ^(2)=19.236,P<0.001).The total awareness rate of non local registered residence(74.20%,558/752)

关 键 词：结核 肺 健康教育 问卷调查 

分 类 号：R521[医药卫生—内科学]