目的：探讨个性化授权对耐多药肺结核患者健康行为与疗效的影响。方法按住院病案号随机将住院的耐多药肺结核患者102例分为实验组与对照组，每组51例，实验组采用授权理论为指导的个性化辅导，对照组采用常规辅导，共4周。观察干预前后患者的结核病控制自我效能及疗效。结果实验组干预后12个月结核病控制自我效能量表总分及多个维度的均分较干预前提高，且明显高于对照组，差异有统计学意义（P ＜0．05或P ＜0．01）；与干预前及对照组相比，实验组患者干预后12个月痰检阳性率明显降低，差异有统计学意义（P ＜0．05或 P ＜0．01）。结论以个性化授权为指导的结核病教育能提高耐多药肺结核患者的健康行为，提高治疗效果，降低传染性。%Objective To investigate the impact of individualized authorization on the health behavior and efficacy of patients with multi -drug resistant (MDR) tuberculosis.Methods A total of 102 patients who were admitted into our hospital due to MDR tuberculosis were enrolled in the current study.They were randomly divided into an experimental group and a control group (51 patients in each) according to their number of medical records.The experimental group was given individualized counseling guided by authorized theory.The control group received routine counseling.After four weeks of counseling, all patients were subject to assessment for their abilities to self -control and therapeutic efficacy. Results One year after counseling, significant improvement was seen in both groups when they were assessed using the self -efficacy scale.Individualized counseling resulted in a remarkably increased total score and dimension scores on av-erage for MDR tuberculosis patients when they underwent self -efficacy assessment in comparison with routine counseling (P <0.05 or P <0.01).Furthermore, those in the experiment group produced a significantly improved smear -positive rate than the control on Month 12 after counseling (P <0.01).Conclusion Individualized authorization can be applied in tuberculosis education which improves the behavior of MDR tuberculosis patients and then results in enhanced thera-peutic efficacy and low risk of infection.
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