Abstract:

Objective: To investigate the current status of self-discipline among pulmonary tuberculosis patients, analyze the associated influencing factors, and establish an evidence-based foundation for developing interventions about improving self-discipline behaviors in this population. Methods: Using a convenience sampling method, a total of 571 pulmonary tuberculosis patients hospitalized in the Department of Tuberculosis at Shanghai Pulmonary Hospital, Affiliated to Tongji University, from March to June 2025 were selected. Data were collected using a sociodemographic questionnaire, the Pulmonary Tuberculosis Self-Discipline Scale, the Tuberculosis Self-Efficacy Scale, the Perceived Social Support Scale, and the Perceived Tuberculosis Stigma Scale. Results: A total of 551 pulmonary tuberculosis patients were included. Their mean total self-discipline score was (112.40±14.71). Correlation analysis revealed that self-discipline was positively correlated with tuberculosis self-efficacy (r=0.645, P<0.001) and perceived social support (r=0.389, P<0.001), while negatively correlated with perceived tuberculosis stigma (r=-0.089, P<0.05). Regression analysis indicated that female (β=3.598,95%CI:1.652-5.544,P<0.001), educational attainment at junior/senior high school or technical secondary school level (β=3.480,95%CI:0.210-6.750,P=0.037), educational attainment at college level or above (β=10.016,95%CI:6.295-13.738,P<0.001), rural residence (β=-2.387,95%CI:-4.593--0.182,P=0.034), tuberculosis self-efficacy (β=0.792,95%CI:0.689-0.896,P<0.001), and perceived tuberculosis stigma (β=0.094,95%CI:0.017-0.171,P=0.017) were significant influencing factors of self-discipline in pulmonary tuberculosis patients. Conclusion: The current level of self-discipline among pulmonary tuberculosis patients requires further enhancement. Factors influencing their self-discipline include gender, educational level, place of residence, self-efficacy regarding tuberculosis, and perceived stigma associated with the disease.

Key words: Tuberculosis,pulmonary, Self-control, Factor analysis,statistical, Social stigma, Self efficacy, Social support