Barnwell M D, Chitkara R, Lamberta F
Department of Health and Physical Education, York College/City University of New York, Jamaica 11451.
J Natl Med Assoc. 1992 Dec;84(12):1014-8.
This article reports the findings from a clinical study that examined the impact of health education and counseling on the decision of a patient infected with tuberculosis (TB) to complete a regimen of isoniazid (INH) chemoprophylaxis for 6 months to prevent TB. Forty patients were divided into two groups; both groups were administered a questionnaire to collect demographic data and medical history. One group received additional health education and counseling independent of clinic staff, and the other group only received health education and counseling from clinic staff. The proportion of patients in the first group who completed INH for 6 months (63.6%) was significantly greater than the proportion of patients in the second group (11.1%). These findings suggest that health education and counseling did make an impact on the decision of a patient infected with TB to conform with a rational choice when provided with information and a supportive relationship about the consequences of TB infection.
本文报告了一项临床研究的结果，该研究考察了健康教育与咨询对感染结核病（TB）的患者决定完成6个月异烟肼（INH）化学预防方案以预防结核病的影响。40名患者被分为两组；两组均接受问卷调查以收集人口统计学数据和病史。一组接受了独立于诊所工作人员的额外健康教育与咨询，另一组仅接受诊所工作人员的健康教育与咨询。第一组完成6个月INH治疗的患者比例（63.6%）显著高于第二组（11.1%）。这些发现表明，当为感染TB的患者提供有关TB感染后果的信息及支持性的关系时，健康教育与咨询确实会对患者做出符合理性选择的决定产生影响。
