Abstract:

Objective: To explore the application of digital health education in the preventive management of caregivers of bacterial positive pulmonary tuberculosis patients. Methods: According to the inclusion criteria, 200 caregivers of patienrs with bacterial positive pulmonary tuberculosis patients who were admitted to the Affiliated Pulmonary Hospital of Shanxi Medical University from May 1, 2022 to May 31, 2024 were enrolled. The enrolled caregivers were divided into a control group (using conventional health education management methods) and an observation group (using a knowledge-attitude-behavior health education model based on digital intelligence) baded on the random number table method, with 100 caregivers in each group. A questionnaire on the level of knowledge, attitude and behavior of health education was used to evaluate the scores of core information knowledge, positive attitude and preventive behavior of the caregivers of the two groups before and 3 months after the intervention. The satisfaction of the two groups on the care of the intervention and the rate of the first-time on-time follow-up of the patients were compared. Results: After intervention, the scores of awareness on tuberculosis prevention and treatment information, positive attitude, and behavior of the caregivers in the observation group ((86.47±11.38), (78.66±12.55), and (62.82±5.33) points, respectively) were higher than those of the control group ((69.16±9.45), (64.36±11.02), and (48.35±4.84) points, respectively), and the differences were statistically significant (t=4.722, P=0.040; t=4.763, P=0.000; t=3.841, P=0.012). The overall satisfaction rate of observation group with nursing interventions (95.0% (95/100)) was significantly higher than that in the control group (80.0% (80/100)), and the difference was statistically significant (χ²=4.997, P=0.024). The first-time on-time follow-up rate of the patients in the observation group (86.0% (86/100)) was significantly higher than that of the control group (73.0% (73/100)), and the difference was statistically significant (χ²=4.889, P=0.027). Conclusion: The preventive management interventions of digital intelligence based knowledge-attitude-behavior health education can improve the awarness rate of pulmonary tuberculosis related knowledge of the caregivers of patients with bacterial positive pulmonary tuberculosis patients, change the caregivers’s attitude in the prevention and treatment of tuberculosis, and promote their health behaviors, and the intervention effect is significant.

Key words: Tuberculosis, pulmonary, Education, nursing, Health knowledge, attitudes, practice, Questionnaires, Nursing evaluation research