结核病专科咨询内容结构分析与对策

Analysis of tuberculosis specialist counseling contents and its strategies

目的 分析结核病专科咨询内容结构,了解患者的健康需求,为完善现有的专科健康教育内容,制定个性化健康教育计划提供依据.方法 对门诊咨询和人工电话咨询资料2 877例次进行整理、归类和分析.结果 求询者以18～60岁青壮年、外省市、初中文化、已婚、初诊、工人、肺结核居多;求询原因以担心家人被传染结核病为主,占31.62%;求询者结核病知识主要来源于网络,占54.01%;求询内容分布：知识类占67.43%,信息类占13.1%,服务类占13.45%,心理类占6.01%;求询者心理问题主要为恐惧,占46.76%;98.75%的问题可通过咨询直接解决.结论 对咨询资料进行分析,开展咨询服务,有助于完善健康教育内容,开展护理延伸服务,提高对患者的治疗效果.

Objective To analyze the data of specialist counseling on tuberculosis, investigate the patients＇ demands,and to provide references for supplementing the content of specialized health education and making personalized health education plans. Methods Data of 2877 original telephone consultations and outpatient consultations were retrospectively collected and analyzed. Results The majority of client population were adults aged from 18 to 60 years old, from other provinces or cities, lowly educated （junior high school）,married, newly diagnosed workers infected with pulmonary tuberculosis. 31.62% of the reasons of consultation were concern of the transmission of tuberculosis among patients and their families. Their knowledge about tuberculosis mainly came from the network, accounting for 54.01%. The contents of consultation included types of knowledge, information, service and psychological, with the rates of 67.43%, 13. 1%, 13.45% and 6.01%, respectively. 46.76% of the psychological problems were fears of tuberculosis. 98.75% of patients＇problems were resolved in time by counseling. Conclusions Based on the analysis of the data, specialist counseling services should be carried out as it has great significance for improving health education and extensive services of tuberculosis patients.