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196例初治病原学阳性肺结核患者结核感染控制知识知晓情况调查

Investigation and analysis of 196 newly diagnosed etiologically positive pulmonary tuberculosis patients on knowledge of tuberculosis infection control
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摘要 目的:调查初治病原学阳性肺结核患者结核感染控制知识掌握情况,为有效开展结核感染控制和健康教育工作提供依据。方法:对2019年1月至2023年1月于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、北京市大兴区结核病预防控制中心纳入的196例初治病原学阳性肺结核患者进行结核感染控制知识知晓情况问卷调查,调查内容包括患者的基本信息、结核感染控制知识问卷、临床信息等;发出问卷196份,有效问卷196份,有效率为100.0%。统计调查对象结核感染控制知识知晓情况,分析影响其结核病防治核心信息知晓情况的因素。结果:196例调查对象结核感染控制知识总知晓率为64.4%(2649/4116)。多因素logistic回归分析结果显示,相对于初中及以下学历,大专/本科及以上学历者结核感染控制知识知晓率达标的可能性更高(OR=6.659,95%CI:1.995~22.220);相对于有结核病接触史者,无结核病接触史者结核感染控制知识知晓率达标的可能性更低(OR=0.218,95%CI:0.054~0.886)。结论:初治病原学阳性肺结核患者结核感染控制知识知晓率尚有待提高,初中及以下文化程度和无结核病接触史的患者结核感染控制知识知晓率相对较低,需针对这部分人群开展结核病预防控制健康教育工作。 Objective:To investigate the knowledge of tuberculosis(TB)infection control among newly diagnosed etiologically positive pulmonary TB patients,and to provide basis for effective TB infection control and health education.Methods:From January 2019 to January 2023,196 newly diagnosed TB patients with positive etiological test results from Beijing Chest Hospital,Capital Medical University,Tuberculosis Prevention and Control Institute of Changping District,Disease Prevention and Control Center of Daxing District in Beijing were investigated with a questionnaire on knowledge about TB infection control,including basic information of patients,TB infection control questionnaire,clinical information,etc.;196 questionnaires were sent out,with 196 valid questionnaires and a 100.0%effective rate.Then we summarized the knowledge of TB infection control among respondents,and analyzed the factors affecting their awareness of core information of TB prevention and control.Results:The total awareness rate among the surveyed subjects was 64.4%(2649/4116).Multivariable logistic regression showed that compared to those with junior high school or lower education,those with a college/undergraduate degree or above were more likely to meet the standard of TB infection control knowledge(OR=6.659,95%CI:1.995-22.220);compared with those with TB contact history,those without were less likely to reach the TB infection control knowledge standard(OR=0.218,95%CI:0.054-0.886).Conclusion:The awareness of TB infection control knowledge among newly diagnosed etiologically positive pulmonary TB patients still needs to be improved,and the awareness of those with junior high school education and below and those without TB contact history are relatively low,on whom targeted TB prevention and control health education should be performed in the future.
作者 姜晓颖 刘静 张治国 张文 高孟秋 杨新婷 弭凤玲 Jiang Xiaoying;Liu Jing;Zhang Zhiguo;Zhang Wen;Gao Mengqiu;Yang Xinting;Mi Fengling(Department of Science and Technology,Beijing Chest Hospital,Capital Medical University/Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China;Tuberculosis Prevention and Control Institute of Changping District,Beijing 102200,China;Community Health Service Center of Tiangongyuan Sub District,Daxing District,Beijing 102600,China;The First Department of Tuberculosis,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China)
出处 《中国防痨杂志》 CAS CSCD 2024年第2期213-220,共8页 Chinese Journal of Antituberculosis
基金 北京市科学技术委员会资助项目(D181100000418002)。
关键词 结核 感染控制 健康知识 态度 实践 问卷调查 Tuberculosis pulmonary Infection control Health knowledge attitudes practice Questionnaires
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