scholarly journals Tuberculosis patients' reasons for defaulting on tuberculosis treatment: a need for a practical patient-centred approach to tuberculosis management in primary health care

2007 ◽  
Vol 49 (6) ◽  
pp. 17-17 ◽  
Author(s):  
IS Ukpe
2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.


Author(s):  
Eliabe Rodrigues de Medeiros ◽  
Sandy Yasmine Bezerra e Silva ◽  
Cáthia Alessandra Varela Ataide ◽  
Erika Simone Galvão Pinto ◽  
Maria de Lourdes Costa da Silva ◽  
...  

ABSTRACT Objective: to analyze the clinical information systems used in the management of tuberculosis in Primary Health Care. Method: descriptive, quantitative cross-sectional study with 100 health professionals with data collected through a questionnaire to assess local institutional capacity for the model of attention to chronic conditions, as adapted for tuberculosis care. The analysis was performed through descriptive and inferential statistics. Results: Nurses and the Community Health Agents were classified as having fair capacity with a mean of 6.4 and 6.3, respectively. The city was classified as having fair capacity, with a mean of 6.0 and standard deviation of 1.5. Family Health Units had higher capacity than Basic Health Units and Mixed Units, although not statistically relevant. Clinical records and data on tuberculosis patients, items of the clinical information systems, had a higher classification than the other items, classified as having fair capacity, with a mean of 7.3 and standard deviation of 1.6, and the registry of TB patients had a mean of 6.6 and standard deviation of 2.0. Conclusion: clinical information systems are present in the city, mainly in clinical records and patient data, and they have the contribution of professionals linked with tuberculosis patients.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Elisângela Franco de Oliveira Cavalcante ◽  
Denise Maria Guerreiro Vieira da Silva

ABSTRACT The objective of this qualitative study that followed the principles of the Grounded Theory was to understand the commitment of nurses in the care provided in primary health care to people with tuberculosis. The setting consisted of eight primary health care units. A theoretical sample was designed with 28 participants, including nurses, doctors, nursing assistants, technical staff, epidemiological surveillance professionals and people with tuberculosis. In-depth interviews were used for data collection. Data were analyzed using the Atlas.ti(r) software, by means of open, axial and selective coding. The singularities of care demanded commitment from the nurses towards tuberculosis patients, and included three components: the ethical-professional, the institutional-political and the social. This commitment was considered to be the driving force of a service that strives to guarantee quality care and access to tuberculosis patients, so that the disease is treated and patients can recover, have a healthy life and attend their social roles satisfactorily.


2020 ◽  
Vol 12 (3) ◽  
pp. 181
Author(s):  
Sheilla Mufidha Wahyuningtyas ◽  
Endang Sri Lestari ◽  
Jojok Mukono ◽  
Endro Sukmono

Introduction: Tuberculosis (TB) is a global health crisis. Environmental health services in Primary health care provide counseling services, inspections and environmental health interventions. Research aims to determine the impact of environmental health services in Primary health care on the behavior of TB patients that includes the knowledge, attitudes and actions of pulmonary tuberculosis patients in the prevention of the transmission of pulmonary tuberculosis disease. Method: The method in this study was experimental quasi. Respondents were a new case of pulmonary TB at 6 Primary health care in Banyuwangi Regency April S/d June 2019. Pre test before obtaining environmental health services. Post test was given after counseling, inspection and environmental health intervention. Result and Discussion: The results showed a total of 24 respondents to the majority pulmonary tuberculosis patient was male (54.17%). Pre test knowledge of pulmonary TB patient is good (4.16%), enough (8.33%) and less (87.50%). Category Post test knowledge of TB patients acquired good (20.83%), sufficient category (75.00%) and less (4.20%). The average Pre test knowledge score is 37.70 and the Post test is 67.20. Category Prettest Action patients TB is good (4.16%) and less (95.83%). Category Post Test action patients pulmonary TB is good (54.17%), enough (41.67%) and less (4.16%) Which is an improvement in the form of masks, hand washing soap, the habit of spitting, the use of individual cutlery and drinking equipment, washing dinnerware and drinking with hot water/drying, drying the sleeping tools, opening a window every day, separate sleeping habits. Conclusion: The conclusion of this research is environmental health services in Primary health care in patients with pulmonary tuberculosis improves the behavior of TB patients in the form of increased knowledge, attitudes and actions of the patient in the prevention of disease transmission of TB.


Author(s):  
Ratna Kurnia Illahi ◽  
Hananditia Rachma Pramestutie ◽  
Made Shandra Dwi Desyana

Objective: Patient’s compliance in taking medication has an important role for the success of tuberculosis (TB) therapy because of long period of treatment. One of the reasons of frequent failure in tuberculosis therapy resulted from the lack of patient’s knowledge about the disease and treatment of tuberculosis, therefore affecting patient’s compliance. This study aimed to increase the knowledge level of tuberculosis patients. by using "Lung TB Care" as an assistive counselling tool in the form of computer applications that include pictures and information about the disease and treatment of tuberculosis.Methods: This study was a preliminary study with one-group retest design. The number of subjects in this study was 60 patients with the first category pulmonary TB. The Primary Health Care Centres were chosen with purposive sampling method, while the tuberculosis patients were chosen with random sampling according to appropriate inclusion and exclusion criteria.Results: The study indicated that there were changes in the level of patients’ knowledge, before and after counselling with “Lung TB Care”. The paired t-test analysis showed a significantly different result between two groups (p<0.001) regarding patient’s knowledge about the disease and treatment.Conclusion: To conclude this study, the use of assistive counselling tools “Lung TB Care” gives positive effect on the patients’ knowledge level, suggested that there are changes in the patients’ knowledge level after counselling by using assistive counselling tools.


Sign in / Sign up

Export Citation Format

Share Document