阿桑特-阿基姆北区长老会医院病人对结核病的认识、态度和做法

Sebastian Osei Kwarteng, Eric Sampane Donkor, Julius Eyiuche Nweze
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摘要

背景:肺结核(TB)是加纳主要的公共卫生问题之一,会造成严重的经济和社会后果。结核病是一种可防可治的传染病,健康教育计划有助于结核病的控制,但加纳缺乏此类计划所需的证据。研究目的本研究旨在考察阿桑特-阿基姆北区(PHAA-AND)阿戈长老会医院患者对结核病的基本做法、态度和知识(PAK)以及寻求医疗保健的行为。研究方法这是一项针对 PHAA-AND 患者的横断面研究。研究采用简单随机抽样的方法,选取了 370 名参与者,就他们对结核病的了解、态度和感染控制措施进行了访谈。研究结果我们的研究表明,大多数受访者对结核病的病原体(68%)、传播途径(85.6%)和预防方法(81.7%)有较好的了解。然而,大多数受访者(80.8%)对结核病的治疗方法知之甚少。总体而言,大多数受访者对结核病持积极态度,并表示有良好的感染控制措施。受教育程度(OR,1.49,CI;1.25-1.77,p <0.001)和性别(OR,0.37,CI;0.21-0.69,p=0.001)是决定结核病相关知识、态度或感染控制措施的最主要因素。结论受访者对结核病的认知良好,但也存在一些不足。这些差距要求在研究地区开展有关结核病的健康教育,并制定有效的教育计划。关键词知识;态度;实践;结核病;阿森特-阿基姆北区长老会医院。
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Knowledge, attitude and practices related to tuberculosis among patients at the Presbyterian Hospital in the Asante Akim North District
Background: Tuberculosis (TB) is one of the major public health concerns in Ghana, with serious economic and social consequences. Tuberculosis is an infectious disease that is preventable and curable, as health educational programmes contribute to the control of TB However, the evidence required for such programmes is lacking in Ghana. Objectives: The aim of this study was to examine the underlying practices, attitudes and knowledge (PAK) of the patients at the Presbyterian hospital in Agogo, the Asante Akim North District (PHAA-AND) about tuberculosis disease and healthcare-seeking behaviour. Methods: This was a cross-sectional study among patients in the PHAA-AND. A simple random sampling method was used in selecting 370 participants for the study, who were interviewed regarding their TB knowledge, attitude and infection control practices. Results: Our study shows that the majority of the respondents demonstrated good knowledge about TB regarding its causative agent (68%), transmission (85.6%) and prevention (81.7%). However, poor knowledge was expressed regarding TB treatment by the majority (80.8%) of the respondents. Generally, the majority of respondents had a positive attitude and expressed good infection control practices regarding TB. The strongest determinants of TB related knowledge, or attitude or towards infection control practices were; level of education (OR, 1.49, CI; 1.25-1.77, p < 0.001), and gender (OR, 0.37, CI; 0.21-0.69, p=0.001). Conclusions: Respondents had good PAK towards TB, though some gaps were identified. These gaps called for health education about TB in the study area, and effective educational programs. Keywords: Knowledge; attitude; practices; tuberculosis; Presbyterian Hospital in the Asante Akim North District.
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