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[目的]了解家庭督导员结核病相关知识掌握情况以及对督导工作的态度,并探求家庭督导员对患者治疗依从性的影响因素。[方法]利用自行设计流行病学问卷入户面对面调查肺结核强化治疗末期患者家庭督导员的基础资料、结核病相关知识以及对督导工作的态度。同时,在没有提前通知的情况下,以药片计数法调查患者依从性。[结果]家庭督导员绝大多数为患者近亲,文化程度和家庭收入较低。家庭督导员结核病相关知识掌握情况不理想,回答正确率在63.1%至90%之间。督导态度方面,97%的督导员在对患者进行督导时感觉“一般及高兴”。在多因素分析中少数民族(OR=0.43)、未婚(OR=0.10)、家庭收入在500～1000元之间(OR=0.28)为治疗依从性的有益因素;结核病知识的错误认识是主要的危险因素之一。[结论]各级结核病管理者应该提高家庭督导员对患者的依从性重要作用的认识,加强督导员在结核病相关知识方面的培训。
[Objective] To understand the mastery of tuberculosis-related knowledge of family supervisors and their attitude towards supervisory work and explore the influencing factors of family supervisors on their compliance with treatment. [Methods] The questionnaire of self-designed epidemiology was used to face-to-face survey of the basic information of family supervisors in tuberculosis patients with end-stage intensive treatment, the knowledge about tuberculosis and the attitude toward supervision. At the same time, patient compliance was investigated using the tablet count method without prior notice. [Results] The vast majority of family supervisors were close relatives of patients with low education level and family income. Family supervisor tuberculosis-related knowledge of the situation is not satisfactory, the correct answer rate of 63.1% to 90%. In terms of supervision, 97% of supervisors feel “fair and happy” when supervising the patient. Multivariate analysis showed that ethnic minority (OR = 0.43), unmarried (OR = 0.10) and family income between 500 and 1000 yuan (OR = 0.28) were the beneficial factors for treatment compliance. The misunderstanding of TB knowledge was the major One of the risk factors. [Conclusion] Tuberculosis supervisors at all levels should raise awareness of the important role of family supervisors in compliance with patients and strengthen supervisors’ training on tuberculosis-related knowledge.