关键词: 结核, 肺/预防和控制, 病人隔离, 问卷调查, 中山市

Abstract: Objective To explore the implementation of home quarantine for patients with sputum smear positive pulmonary tuberculosis (PTB) in Xiaolan Town, so as to provide scientific evidence for TB control and prevention. Methods Cross-sectional investigation was applied. Patients aged 15 years and above diagnosed as sputum smear positive PTB in Xiaolan Town registered from 2011 to 2012 were investigated. Among the 195 cases who met the requirement, there were 59 cases with local Hukou and 136 cases with non-local Hukou. There were 130 male cases and 65 female cases. The average age was 39.47±16.88 years. One hundred and forty-one cases were 45 years old or below. Seventy-two cases had primary school or lower education experience, 86 cases graduated at junior high school and 37 cases had diploma of senior high school or above. Every patient was guided by a TB control doctor on the core information of TB control and prevention, and home quarantine implementation. A questionnaire survey was conducted face-to-face after a month. The questionnaire was designed according to Guidelines on Implementation of Chinese Tuberculosis Control Program, which covered the awareness of core information on TB and home quarantine implementation. One hundred and ninety-five questionnaires were delivered, and 195 valid questionnaires were collected，the effective rate was 100.00%. The data were input by Excel software package and analyzed by SPSS 13.0 software package. χ² test were adopted in the statistical analysis, P<0.05 was set as the criteria of statistical significance.  Results The awareness rate of core information was 42.56%（83/195）, 50.35% (71/141) for those 45 years and below and 22.22% (12/54) for those above 45 years. The difference between two different age groups was statistical significant（χ²=12.641，P<0.001）. The awareness rate for those had primary school and below education level was 16.67%（12/72）, 45.35%（39/86）for junior high school level and 86.49%（32/37）for senior high school and above. There was a statistical significance among different educational level groups（χ²=49.223，P<0.001）. 83.08%（162/195）patients didn’t wear mask in public place, 97.22%（70/72）for the group with primary school or below education level, 83.72%（72/86）for junior high school level, and 54.05%（20/37）for senior high school and above. There was a statistical significance among different educational level groups（χ²=32.440，P<0.001）. 87.69%（171/195） patients didn’t disinfect their daily necessities, the rates of different education level were 95.83%（69/72）, 90.70%（78/86）and 64.86%（24/37）respectively. The difference was statistical significant among different educational level groups（χ²=23.005，P<0.001）. Conclusion The awareness rate of core information of tuberculosis and the implementation rate of home quarantine were relative to the age and the level of education. The older the patients are, and the lower education level the patients have, the less core information of tuberculosis the patients know, which result in poor implementation of home quarantine. These groups should be the most important targets in the future.

Key words: Tuberculosis, pulmonary/prevention &, control, Patient isolation, Questionnaires, Zhongshan city