Study on the Effect of Behavioral Interventions Based on the Theory of “Knowledge, Attitude, Practice” on Tuberculosis Cognitive Level of Close Contacts
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Keywords

Undergraduates
Close contact of tuberculosis
Behavioral intervention
Health education

DOI

10.26689/jcnr.v8i2.6178

Submitted : 2024-01-27
Accepted : 2024-02-11
Published : 2024-02-26

Abstract

Objective: Based on the theory of “Knowledge, Attitude, Practice,” health education was carried out for close contact with tuberculosis (TB) at a university in Beijing, and its impact on the students’ awareness of TB was studied. This study could provide a reference for effective health education interventions among close contacts of TB in undergraduates. Methods: 102 undergraduates who had close contact with one confirmed case of pulmonary TB in April 2021 at a university were randomly divided into a control group and an intervention group. The intervention group was given the “Knowledge, Attitude, Practice” health education intervention by professionally trained doctors, and were asked to complete a self-designed TB-related questionnaire before and after the intervention. Both groups performed the Tuberculin Skin Test (TST) and chest X-ray (CR) examination. Results: The rate of the TST test was 18.6%, and CR examination showed 0 cases of pulmonary TB. The survey results showed that the TB awareness rate (96.1%, 49/51) in the intervention group was significantly higher than that of the control group (51.0%, 26/51), and the differences in awareness rate between the two groups were statistically significant (P < 0.05). Regarding the attitude/skills toward TB, the prevalence rate of tuberculosis-related attitude/behavior in the intervention group (94.1%, 47/51) was significantly higher than that of the control group (60.8%, 31/51), and the differences between the two groups were statistically significant (P < 0.05). Conclusion: Both self-controlled and parallel-controlled studies showed that the health education intervention of “Knowledge, Attitude, Practice” improved the awareness of TB among close contacts of TB in undergraduates.

References

Lei R, Zhang T, Wu C, et al., 2022, Investigation of an Aggregated Tuberculosis Outbreak in a University in Chongqing. China Tropical Medicine, 23(3): 289–292.

General Office of National Health Commission, 2020, Circular of the General Office of the National Health Commission of the People’s Republic of China and the General Office of the Ministry of Education on the Triggering of Guidelines for Tuberculosis Prevention and Control in Chinese Schools. Bulletin of the Ministry of Education of the People’s Republic of China, 2020(11): 22 + 49–146.

Zhou Y, 2020, Psychological Intervention Study of Close Contacts of Tuberculosis Patients in a University. China Medical Guide, 18(9): 146–147.

Jin F, Wang F, Li F, 2020, Effect of “Knowing, Believing and Doing” Health Education in the Care of Elderly Patients with Diabetes Mellitus. Heilongjiang Medicine, 44(2): 257–258.

Chen H, 2012, Research on health education intervention for tuberculosis in Zhabei District schools, dissertation, Fudan University.

Zhang B, Liu Z, Hu Y, et al., 2019, A Survey on the Knowledge, Attitude and Skills of Freshmen About AIDS in a College and a Study of Different Health Education Models. China Health Education, 35(1): 62–65.

Jia F, Li C, 2017, Research on Psychological Intervention for Close Contacts of Tuberculosis in a University in Qingdao. China School Nurse, 31(3): 161–162.

Gao Z, Li Y, Xu Y, et al., 2020, Comparative Analysis of The Results of a Survey on the Public’s Core Knowledge of Tuberculosis Prevention and Treatment in Beijing in 2006 and 2015. Health Medicine Research and Practice, 17(6): 5–11.