社区肺结核患者的知识态度及行为调查分析

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。

Survey on knowledge,attitude,practice and influence factor of community patients with tuberculosis

Objective Through the investigation on the knowledge, attitude and practice （KAP） of community patients with tuberculosis （TB） and analysis of the related influence factors, to provide basic data for the TB control and prevention. Methods The TB patients with treatment record in community health center in Huishi township were selected randomly and interviewed face to face by doctors who were trained for this investigation. The data were analyzed by non-parameter test, univariate and multivariate logistic regression. Results The pass rate of total KAP of TB was 53.6%, with 59.8%, 62.9% and 52.6% for knowledge, attitude and practice respectively; the multivariate logistic regression analysis indicated that the score of knowledge was related to the age and education level of the interviewee; the score of attitude correlated to the score of knowledge; the score of attitude and of practice were related to the extent of family member care. The main sources of TB knowledge acquired by the patients were the medical institute （67.7%） and television （58.6%）. Conclusions This baseline investigation indicated that the KAP score of TB cases were low, which shows that it is necessary to carry out the health promotion activities focusing on com- prehensive control according to the patients＇ health requirements. The key intervened population should be those who have gained lower education, manual workers and those who had family history of TB.