影响印度尼西亚爪哇岛肺结核患者治疗依从性的因素。
Factors that influence treatment adherence of tuberculosis patients living in Java, Indonesia.
作者信息
Widjanarko Bagoes, Gompelman Michelle, Dijkers Maartje, van der Werf Marieke J
机构信息
Magister Program of Health Promotion, Graduate Study of Diponegoro University, Indonesia;
出版信息
Patient Prefer Adherence. 2009 Nov 3;3:231-8. doi: 10.2147/ppa.s6020.
BACKGROUND AND OBJECTIVE
Due to nonadherence of tuberculosis (TB) patients to treatment, complications may arise and if remaining infectious, these patients may infect other people with TB. To obtain information about factors associated with nonadherence, we performed a study comparing adherent and nonadherent TB patients.
METHODS
Adherent and nonadherent patients randomly selected from hospital records in one urban and two rural districts were interviewed using semi-structured questionnaires. Key informant interviews were done with TB nurses and doctors.
RESULTS
The most frequently mentioned reason for nonadherence to treatment was feeling better. Although the drugs were given free of charge, many patients were nonadherent because of lack of money. Social support was considered very important for adherence. The study indicated that some patients had a negative image about the health care staff, treatment, and quality of medication.
CONCLUSION
Treatment adherence of TB patients receiving treatment in hospitals in Central Java might be improved by providing health education about treatment duration and side effects, facilitating procedures for receiving treatment free of charge and reducing costs of transportation and consultation. Qualified friendly health care staff able to motivate patients might further improve adherence.
背景与目的
由于结核病患者不坚持治疗，可能会出现并发症，而且如果这些患者仍具传染性，他们可能会将结核病传染给其他人。为了获取与不坚持治疗相关的因素信息，我们开展了一项研究，对坚持治疗和不坚持治疗的结核病患者进行比较。
方法
从一个城市和两个农村地区的医院记录中随机选取坚持治疗和不坚持治疗的患者，使用半结构化问卷进行访谈。对结核病护士和医生进行了关键信息人访谈。
结果
不坚持治疗最常被提及的原因是感觉病情好转。尽管药物是免费提供的，但许多患者因缺钱而不坚持治疗。社会支持被认为对坚持治疗非常重要。该研究表明，一些患者对医护人员、治疗和药物质量存在负面看法。
结论
通过提供关于治疗持续时间和副作用的健康教育、简化免费接受治疗的程序以及降低交通和咨询成本，爪哇中部地区医院接受治疗的结核病患者的治疗依从性可能会得到提高。能够激励患者的合格友好医护人员可能会进一步提高依从性。
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