背　景基於台灣隨著結核病發生率及多重抗藥性結核病的增加，目前政府以個案管理制度來提升追蹤率及監測照顧品質。個案管理制度可以提升整體性的照顧，但仍需要證實其成效。目　的探討經由結核個案管理師的個別性衛教後，對結核病患的疾病認知、態度及行為意向之成效。方　法採單組前後測類實驗研究設計。以3份結構性量表，包括「疾病認知」、「態度」及「行為意向」等量表進行問卷調查，依問卷結果及個別需求給予衛教指導及追蹤；再於30－ 42天後進行第二次的問卷調查。結　果共收案96人。結果顯示：給予個別性衛教指導可顯著提升個案對結核病的疾病認知（p < .001）；另外研究發現態度與行為意向，達顯著正相關（p < .001）。
結　論／實務應用結核病診斷初期，即早給予個別性的衛教指導將可提升病患認知，了解治療的重要性，增加遵從性及治癒率。

Background: The Taiwan government currently promotes a case management approach to tuberculosis (TB) treatment to address the growing number of TB and multiple drug-resistant TB cases in Taiwan. The approach aims to
improve medical follow-up and monitor quality of care. The efficacy of this case management approach has yet to be evaluated.Purpose: The current study was designed to evaluate the effect of individualized case manager counseling on TB patient disease knowledge, attitudes, and behavioral intention.Methods: This study employed a one-group pretest-posttest quasi-experimental design. Participants first answered an
initial questionnaire survey including three structured scales that addressed, respectively, the facets of disease knowledge,attitudes, and behavioral intention. TB case managers then delivered two- stage counseling to participants based on assessed individual needs and outstanding issues identified in questionnaire answers. A second questionnaire survey was administered 30~42 days after the intervention.
Results: Data on a total of 96 TB patients were collected. Key study findings were (1) individualized counseling significantly improved TB patient disease knowledge (p < .001) and (2) TB patient attitudes correlated significantly and positively with behavior intention (p < .001).Conclusions / Implications for Practice: Individualized counseling provided during the early stages of TB helps elevate patient awareness of the importance of treatment, enhances compliance and increases the cure rate.