探討個別性衛教對結核病患疾病認知、態度及行為意向之成效

Tuberculosis Patient Disease Knowledge, Attitudes and Behavioral Intentions:The Impact of Individualized Counseling

武香君(Shiau-Jiun Wu) ； 盧柏樑(Po-Liang Lu) ； 陳彥旭(Yen-Hsu Chen) ； 潘慧娟(Hui-Juan Pan) ； 馮明珠(Ming-Chu Feng)

《護理雜誌》 58卷6期 (2011/12) Pp. 44-53

https://doi.org/10.6224/JN.58.6.43

摘要

Background:The Taiwan government currently promotes a case management approach to tuberculosis (TB) treatment to address the growing number of TB and multiple drug-resistant TB cases in Taiwan. The approach aims to improve medical follow-up and monitor quality of care. The efficacy of this case management approach has yet to be evaluated.Purpose:The current study was designed to evaluate the effect of individualized case manager counseling on TB patient disease knowledge, attitudes, and behavioral intention.Methods:This study employed a one-group pretest-posttest quasi-experimental design. Participants first answered an initial questionnaire survey including three structured scales that addressed, respectively, the facets of disease knowledge, attitudes, and behavioral intention. TB case managers then delivered two- stage counseling to participants based on assessed individual needs and outstanding issues identified in questionnaire answers. A second questionnaire survey was administered 30~42 days after the intervention.Results:Data on a total of 96 TB patients were collected. Key study findings were (1) individualized counseling significantly improved TB patient disease knowledge (p ＜ .001) and (2) TB patient attitudes correlated significantly and positively with behavior intention (p ＜ .001).Conclusions / Implications for Practice:Individualized counseling provided during the early stages of TB helps elevate patient awareness of the importance of treatment, enhances compliance and increases the cure rate.

關鍵字

結核病 ； 個別性衛教 ； 認知 ； 態度 ； 行為意向

並列摘要

Background:The Taiwan government currently promotes a case management approach to tuberculosis (TB) treatment to address the growing number of TB and multiple drug-resistant TB cases in Taiwan. The approach aims to improve medical follow-up and monitor quality of care. The efficacy of this case management approach has yet to be evaluated.Purpose:The current study was designed to evaluate the effect of individualized case manager counseling on TB patient disease knowledge, attitudes, and behavioral intention.Methods:This study employed a one-group pretest-posttest quasi-experimental design. Participants first answered an initial questionnaire survey including three structured scales that addressed, respectively, the facets of disease knowledge, attitudes, and behavioral intention. TB case managers then delivered two- stage counseling to participants based on assessed individual needs and outstanding issues identified in questionnaire answers. A second questionnaire survey was administered 30~42 days after the intervention.Results:Data on a total of 96 TB patients were collected. Key study findings were (1) individualized counseling significantly improved TB patient disease knowledge (p ＜ .001) and (2) TB patient attitudes correlated significantly and positively with behavior intention (p ＜ .001).Conclusions / Implications for Practice:Individualized counseling provided during the early stages of TB helps elevate patient awareness of the importance of treatment, enhances compliance and increases the cure rate.

並列關鍵字

Tuberculosis (TB) ； Individualized Counseling ； Knowledge ； Attitudes ； Behavioral Intention