Alvarez-Gordillo G C, Alvarez-Gordillo J F, Dorantes-Jiménez J E, Halperin-Frisch D
El Colegio de la Frontera Sur, San Cristóbal de las Casas, Chiapas, México.
Salud Publica Mex. 2000 Nov-Dec;42(6):520-8.
To identify health perceptions and practices and non-adherence to therapy among tuberculosis patients.
Qualitative research work consisting of 11 group interviews with 62 tuberculosis patients during 1997-1998 in the Central, Highlands, and Border Regions of Chiapas, Mexico.
Perceived causes of tuberculosis included contagion via food utensils, excess work, malnutrition, and cold, as well as other causes unrelated to person-to-person contagion. The resulting incapability to work resulted in an economic crisis for both the patients and their family members. As a result of the social stigma imposed by the disease, patients perceived a negative impact on their personal life, family, work, and community.
Lack of knowledge regarding tuberculosis is an important factor in the selection of and adherence to different care alternatives. Inadequate care provided by health services, including an unsatisfactory physician-patient relationship, resulted in diagnostic delay and non-adherence to therapy. Education programs to promote basic knowledge regarding tuberculosis and its treatment are necessary in this region.
确定肺结核患者的健康观念、行为以及对治疗的不依从情况。
1997年至1998年期间，在墨西哥恰帕斯州中部、高地和边境地区对62名肺结核患者进行了11次小组访谈，开展定性研究工作。
认为导致肺结核的原因包括通过餐具传染、工作过度、营养不良、着凉，以及其他与人际传染无关的原因。由此导致的无法工作给患者及其家庭成员都带来了经济危机。由于该疾病带来的社会污名，患者认为这对他们的个人生活、家庭、工作和社区都产生了负面影响。
对肺结核缺乏了解是选择和坚持不同治疗方案的一个重要因素。卫生服务提供的护理不足，包括医患关系不令人满意，导致诊断延误和治疗不依从。该地区有必要开展教育项目，以推广关于肺结核及其治疗的基本知识。
