Effect of “knowledge, belief and behavior” model intervention on mastering tuberculosis knowledge in elderly patients with pulmonary tuberculosis

doi:10.3969/j.issn.2096-8493.2020.01.013

Abstract

Abstract:

Objective To explore the effect of “knowledge, belief and behavior” model intervention on mastering tuberculosis knowledge in elderly patients with tuberculosis (TB). Methods From January 2018 to June 2019, 80 elderly patients with pulmonary tuberculosis who were hospitalized in Zaozhuang Chest Hospital for more than 10 days and met the research criteria were selected as the study objects. Using the questionnaire, the first household survey of knowledge, belief and behavior intervention for patients was carried out within 3 days after discharge from hospital. According to the results of the investigation, using the mode of “knowledge, belief and behavior intervention”, distributing an easy-to-understand brochure on TB prevention and control, the elderly TB patients were intervened by means of face-to-face communication and behavior demonstration. After 15 days of intervention, a second questionnaire survey was conducted to track the effect of “knowledge, belief and behavior intervention”. 160 questionnaires were distributed and 160 were effectively recovered. The effective recovery rate of questionnaire was 100.00%. Results As for the knowledge of prevention and treatment of tuberculosis (routes of transmission, treatment methods, etc.), the awareness rate before intervention was 76.63% (613/800), and the awareness rate after intervention was 95.63% (765/800). The difference was statistically significant (χ²=120.84, P=0.000). The awareness rate of belief to prevention and treatment before intervention was 79.00% (316/400), and the awareness rate after intervention was 93.00% (372/400). The difference was statistically significant (χ²=32.56, P=0.000). The awareness rate of behavior to prevention and treatment before intervention was 82.25% (329/400), and the awareness rate after intervention was 97.75% (391/400). The difference was statistically significant (χ²=53.39, P=0.000). Conclusion The application of knowledge, belief and behavior intervention model for health education can improve the elderly TB patients’ knowledge of TB, improve their health belief and behavior, so as to promote rehabilitation and reduce the spread of disease.

Key words: Tuberculosis, Aged, Questionnaires, Intervention studies, Health education

ZHANG Shi-xia, LI li. Effect of “knowledge, belief and behavior” model intervention on mastering tuberculosis knowledge in elderly patients with pulmonary tuberculosis[J]. Journal of Tuberculosis and Lung Disease , 2020, 1(1): 60-64. doi: 10.3969/j.issn.2096-8493.2020.01.013

Figures/Tables 2

References 15

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患者特征	例数	构成比(%)
性别
男	57	71.25
女	23	28.75
年龄组(岁)
60~	58	72.50
70~	17	21.25
≥80	5	6.25
职业
农民	71	88.75
非农民	9	11.25
文化程度
文盲	34	42.50
小学	29	36.25
初中及以上	17	21.25
月收入(元)
<2000	15	18.15
2000~	39	48.75
≥5000	26	32.50

“知信行”维度及项目	干预前		干预后		χ²值	P值
“知信行”维度及项目	知晓例数	知晓率(%)	知晓例数	知晓率(%)	χ²值	P值
知识维度
知道肺结核的主要传播途径	78	97.50	80	100.00	2.03	0.155
知道肺结核的传染性	62	77.50	76	95.00	10.33	0.001
知道肺结核患者近距离对人咳嗽可以传染	58	72.50	77	96.25	17.11	0.000
知道现代预防结核病的主要方法	46	57.50	72	90.00	21.82	0.000
知道早发现、早治疗肺结核的好处	55	68.75	75	93.75	16.41	0.000
知道何种方法可以有效、经济杀灭结核分枝杆菌	38	47.50	69	86.25	27.11	0.000
知道咳嗽、咳痰2周以上应该考虑肺结核	56	70.00	76	95.00	17.32	0.000
知道肺结核的就诊机构	70	87.50	80	100.00	10.67	0.001
知道检查肺结核的免费政策	72	90.00	80	100.00	8.42	0.004
知道治疗肺结核的免费政策	78	97.50	80	100.00	2.03	0.155
信念维度
认为肺结核是可以治愈的	65	81.25	78	97.50	11.12	0.001
能与肺结核患者正常交往	57	71.25	70	87.50	6.45	0.011
愿意了解肺结核防治知识	68	85.00	76	95.00	4.44	0.035
若患病,能坚持6个月以上全程规律服药	70	87.50	80	100.00	10.67	0.001
愿意参加宣传预防肺结核的活动	56	70.00	68	85.00	5.16	0.023
行为维度
勤洗手、多通风、多晒太阳、强身健体	75	93.75	80	100.00	5.16	0.023
对随地吐痰行为主动提醒劝说	62	77.50	78	97.50	14.63	0.000
与结核病患者接触时开窗通风,接触后洗手	55	68.50	77	96.25	20.95	0.000
家中的结核病患者单独居住一个房间	62	77.50	76	95.00	10.33	0.001
家里发现有肺结核患者,自己主动要求筛查	75	93.75	80	100.00	5.16	0.023