健康教育在结核病控制中的效果评价

Effectiveness Evaluation of Health Education on Tuberculosis Control

目的 了解健康教育在结核病控制中的作用。方法 深圳市福田区慢性病防治院于 1 995～ 2 0 0 1年开展了结核病健康教育。将 2 3 5名接受直接全程督导短程化疗住院及门诊结核病患者作为干预组 ,以 2 48名情况相似的患者为对照组。干预后对干预组及对照组患者进行问卷调查 ,了解其有关知识的掌握情况 ,收集有关医院的相关资料 ,分析转诊率、转诊到位率、直接全程督导下的短程化疗覆盖率、规则治疗率、治愈率。结果 干预组患者的结核病知识知晓率明显高于未干预的对照组 ,差异有显著意义。干预后各医院的结核病患者转诊率、转诊到位率、直接全程督导下的短程化疗覆盖率、规则治疗率、治愈率均明显提高 ,与干预前相比差异有显著意义。

Objective To evaluate the effect of health education on tuberculosis control Methods 1995～2001 Futian District Chronic Disease Hospital, Shenzhen, carried out health education on tuberculosis in the form of TV and radio broadcast for the public of Shenzhen, in the form of training for the relevant medical workers, and in the form of brochure for 235 in and out patients of TB, with 248 TB patients as controls Before and after the intervention, questionnaire surveys were conducted among 248 patients in the control group and 235 patients in the experimental group to compare the change of knowledge The medical data of the relevant hospitals were collected to analyze the changes in transfer rate of TB patients, successful transfer rate of TB patients, directly observed treatment short course (DOTS) coverage rate, regular treatment rate, and cure rate of TB Results The TB knowledge rate was significantly increased among the patients of the experimental group in comparison with that of the controls (P<0 05) The transfer rate of TB patients, DOTS coverage rate, successful transfer rate, regular treatment rate, and cure rate of TB were significantly increased after intervention in comparison with those before intervention (all P<0 05) Conclusion Health education is effective on tuberculosis control