结核病知信行评估工具的范围综述
Tuberculosis Assessment Tools Based on the Knowledge-Attitude-Practice (KAP) Model: A Scoping Review
摘要: 目的：梳理现有结核病知信行评估工具，为结核病的筛查、评估提供科学有效的工具。方法：计算机检索中国知网、VIP数据库、万方数据库、中国生物医学文献数据库、PubMed、Web of Science以及Embase 7个数据库，检索时间为建库至2026年6月9日。提取主题并依据G. Cust的知信行理论进行主题聚类。结果：本研究共纳入20个肺结核知信行评估工具，应用对象为居民、学生、患者、医护人员4类，提取了31个评估主题，聚类为知识、态度、行为3个维度，但仅3项研究报告了工具的信效度检验结果。结论：结核病知信行评估工具的主题较为丰富，但仍需优化态度层面条目设计，进一步验证和完善评估工具的信效度，以提升工具的科学性。
Abstract: Objective: To review and summarize existing Tuberculosis assessment tools, which can provide scientific and effective instruments to support tuberculosis screening and evaluation. Methods: CNKI, VIP, Wanfang data, SinoMed, PubMed, Web of Science, and Embase was systematic searched for relevant studies from inception to June 9, 2026; we will then extract assessment themes and conduct thematic clustering based on G. Cust’s knowledge-attitude-practice theory. Results: A total of 20 assessment tools for pulmonary tuberculosis were included in this study. These tools were applied to four target populations: residents, students, patients, and healthcare workers. Across the included instruments, 31 assessment domains were extracted and subsequently categorized into three dimensions—knowledge, attitude, and behavior. However, validity and reliability testing results were reported in only three studies. Conclusion: The themes of tuberculosis assessment tools are relatively rich; however, it is still necessary to develop the item design in the attitude domain. In addition, further development of the tools’ validation and reliability are needed to enhance.
文章引用：陈鑫怡, 徐茗静, 郭晶, 钱一诺, 胡惜月, 朱奇源. 结核病知信行评估工具的范围综述[J]. 临床医学进展, 2026, 16(9): 763-772. https://doi.org/10.12677/acm.2026.1693104

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