Aryal S, Badhu A, Pandey S, Bhandari A, Khatiwoda P, Khatiwada P, Giri A
College of Nursing, B.P.Koirala Institute of Health Sciences Ghopa, Dharan, Napal.
Kathmandu Univ Med J (KUMJ). 2012 Jan-Mar;10(37):48-52. doi: 10.3126/kumj.v10i1.6914.
The patients suffering from tuberculosis are receiving shame and unfair treatment from the people living around them within their own society attending DOTS clinic of Dharan municipality.
To assess the stigma experienced by tuberculosis patients and to find out the association between stigma experienced by Tuberculosis patient and the selected variables (socio-demographic characteristics, clinical profile and illness experience).
Descriptive Cross Sectional study was done among sixty tuberculosis patients. Stratified random sampling was used to select the main center and sub center of Tuberculosis treatment and population proportionate simple random sampling using lottery method was done. Data was collected using predesigned, pretested performa from Explanatory Model Interview Catalogue developed by World Health Organization.
The study revealed that 63.3% of the subjects were stigmatized. There was association between stigma and variables such as occupation, monthly family income and past history of Tuberculosis. There was also association of stigma with treatment phase, category of the patient and past outcome of illness.
Due to lack of knowledge and awareness about Tuberculosis, many patients were stigmatized. Efforts should be made to educate the public about Tuberculosis to reduce stigma experienced by Tuberculosis patients and improve the compliance of the patient.
在达兰市直接督导下的短程化疗(DOTS)诊所就诊的结核病患者,在其所在社区受到周围居民的羞辱和不公平对待。
评估结核病患者所遭受的污名化情况,并找出结核病患者所遭受的污名化与所选变量(社会人口学特征、临床特征和患病经历)之间的关联。
对60名结核病患者进行了描述性横断面研究。采用分层随机抽样法选择结核病治疗的主要中心和分中心,并采用抽签法进行按人口比例的简单随机抽样。使用世界卫生组织编制的解释性模型访谈目录中预先设计、预先测试的表格收集数据。
研究显示,63.3%的受试者受到了污名化。污名化与职业、家庭月收入和结核病既往史等变量之间存在关联。污名化还与治疗阶段、患者类别和既往疾病转归有关。
由于对结核病缺乏了解和认识,许多患者受到了污名化。应努力对公众进行结核病教育,以减少结核病患者所遭受的污名化,并提高患者的依从性。