【摘要】 目的　了解苏北农村结核病和慢性咳嗽患者有关结核病的知识、态度、行为以及当地结核病健康教育开展的情况。方法　对 2 0 0 0年 1月 1日至 3月 3 0日到江苏省建湖县和阜宁县 14个乡镇医院就诊的慢性咳嗽患者 162人 (近一半为小学以下文化程度 )进行有关结核病知识、态度、行为的问卷调查。在两县 3个乡镇的基层医务人员和结核病患者 90人中进行了 15次专题小组讨论 ,并对其中 18人进行个别深入访谈。结果　医务人员每年均开展多种形式的结核病健康教育。但大部分结核病患者在病前很少注意有关健康教育知识。约一成患者缺乏结核病传染性的知识 ,仅四成患者知道结核病的病原是细菌 ,六成以上的患者认为结核病是遗传病。近一半的患者认为患结核病是耻辱 ,四成以上的慢性咳嗽患者表示不愿与结核病患者及其亲属来往。被调查者有关结核病知识的主要来源包括大众传播媒体、医疗机构的宣传栏以及结核病患者及其家属。结论　农村居民严重缺乏正确的结核病知识、态度、行为。设计适合农村居民需要的结核病健康教育势在必行。更多还原

【Abstract】 Objective To investigate the knowledge, attitudes, and behavior toward Tuberculosis (TB) and sources of relevant knowledge among patients with TB and chronic cough and the development of TB health education in rural areas in Northern Jiangsu Province Methods A questionnaire survey was conducted among 162 patients with chronic cough attending 14 township or town hospitals in Jianhu and Funing counties 1 January to 30 March 2002, almost half of which being at primary educational level, by cluster sampling and 15 focus group discussions were held among 90 grassroots health workers and TB patients under treatment, 18 out of which were further surveyed by individual in depth interview, in 3 towns /townships with different financial levels selected by stratified sampling Results The local health workers reported that they offer TB health education in different forms every year However, most of the TB patients paid little attention to knowledge about TB before they fell ill About one tenth of them did not know the infectivity of TB, only 1/4 of them knew that the pathogen of TB is bacterium More than six tenths of them considered TB as a hereditary disease About half of them thought it disgrace to suffer from TB More than 1/4 of them expressed their unwillingness to contact TB patients and their families The main sources of TB knowledge included mass media, propaganda displayboard, TB patients and their females, etc Conclusion Rural residents lack correct knowledge, attitudes, and behaviors about TB TB health education in the forms fitting in with the needs of rural residents is to be explored更多还原