Analysis of the Mastery of Core Knowledge on Tuberculosis Prevention and Treatment among Patients with Pulmonary Tuberculosis and Its Influencing Factors

LUO Shaoxia; WU Xiaoying; GONG Fang; ZHANG Danni

doi:10.16458/j.cnki.1007-0893.2026.01.003

Abstract：Objective Evaluation of the core knowledge mastery level of tuberculosis patients in treatment and its influencing factors.Methods A cross-sectional survey design was adopted.From January 2025 to July 2025,a questionnaire survey on the core knowledge awareness rate of tuberculosis was conducted on 184 in-patients with active tuberculosis diagnosed at the first outpatient department of a tuberculosis specialty hospital in Guangzhou.The questionnaire covered basic information,five core knowledge points of tuberculosis,health education experience,and the main channels for obtaining knowledge about tuberculosis.A total of 184 valid questionnaires were recovered.The differences in characteristics among patients with different levels of core knowledge mastery were analyzed,and a binary Logistic regression model was constructed with core knowledge mastery being the dependent variable to analyze potential influencing factors.Results Among the 184 in-patients with active tuberculosis,the overall core knowledge awareness rate was 77.61%(95%CI:0.749-0.803).The single knowledge mastery rates of the five core knowledge points were 82.07%,89.13%,41.85%,85.33%,and 89.67%respectively.Only 29.35%were all correct.The differences in the awareness rates of each item were statistically significant(P<0.01).In the univariate analysis of the awareness situation of tuberculosis core knowledge among in-patients with active tuberculosis,the core knowledge qualification rate of patients who received health education was significantly higher than that of those who did not(χ2=7.593,P=0.006).Among the different information acquisition channels,"doctor's explanation"was the main source of health education information,accounting for 46.70%.Those who obtained knowledge mainly through"doctor's explanation"had the highest core knowledge mastery qualification rate.The binary Logistic regression analysis further confirmed that receiving health education(OR=0.435,95%CI:0.183-1.034)and"doctor's explanation"as the main channel(OR=10.507,95%CI:1.833-60.233)were promoting factors for core knowledge mastery.Conclusion Under the strong and effective pulmonary tuberculosis prevention and control strategies and health promotion measures,the core knowledge level of patients under treatment for pulmonary tuberculosis has significantly improved compared to previous levels.However,it still falls short of the target of 85%awareness rate of core knowledge among the public set in the"National Tuberculosis Prevention and Control Plan(2024-2030)".It is recommended to further strengthen health education for patients under treatment for pulmonary tuberculosis,give full play to the role and professional advantages of medical staff,innovate publicity forms and concepts,empower new methods for tuberculosis health education,and continuously inject new impetus into tuberculosis prevention and control.