Maswanganyi Nandzumuni V, Lebese Rachel T, Khoza Lunic B, Mashau Ntsieni S
Department of Advanced Nursing, University of Venda.
Curationis. 2014;37(1):e1-e8. doi: 10.4102/curationis.v37i1.1148. Epub 2014 Nov 21.
Management of patients suffering from tuberculosis (TB) after discharge from hospital plays a critical role in the cure rate of TB. Despite interventions developed by the World Health Organization (WHO) to improve the cure rate, TB remains a worldwide health problem.
The purpose of the study was to explore and describe the views of professional nurses regarding the low TB cure rate in primary healthcare facilities of Greater Giyani Municipality in Limpopo Province, South Africa, with the aim of determining strategies that can be used to improve this low rate.
This study was qualitative, exploratory, descriptive and contextual in nature. The population consisted of professional nurses working in primary healthcare facilities within Greater Giyani Municipality, which has a TB cure rate below the national target of 85%. Data gathering was through individual face-to-face interviews using an interview guide. Open-coding was used to analyse the data in this study.
The theme that emerged from data was ‘factors contributing to low TB cure rate’. This theme was supported by the following sub-themes: poor referral system, lack of knowledge about TB and its treatment, stigma attached to TB, and cultural and religious beliefs. The professional nurses suggested counselling of TB patients upon diagnosis, advice about patients’ responsibilities and the involvement of family members.
The involvement of community stakeholders in TB prevention, health promotion and education activities devoted to disease spread and cure is vital so that the stigma attached to TB can be eliminated. TB education and awareness programmes should be included in the curriculum of primary schools.
结核病患者出院后的管理对结核病治愈率起着关键作用。尽管世界卫生组织（WHO）制定了干预措施以提高治愈率，但结核病仍然是一个全球性的健康问题。
本研究的目的是探索和描述专业护士对南非林波波省大吉亚尼市初级卫生保健机构中结核病治愈率低的看法，旨在确定可用于提高这一低治愈率的策略。
本研究本质上是定性、探索性、描述性和情境性的。研究对象包括在大吉亚尼市初级卫生保健机构工作的专业护士，该市的结核病治愈率低于国家设定的85%的目标。数据收集通过使用访谈指南进行的个人面对面访谈。本研究采用开放式编码对数据进行分析。
从数据中浮现出的主题是“导致结核病治愈率低的因素”。该主题得到以下子主题的支持：转诊系统不完善、对结核病及其治疗缺乏了解、结核病带来的耻辱感以及文化和宗教信仰。专业护士建议在诊断时对结核病患者进行咨询，告知患者的责任并让家庭成员参与进来。
社区利益相关者参与结核病预防、健康促进以及致力于疾病传播和治愈的教育活动至关重要，这样才能消除与结核病相关的耻辱感。结核病教育和提高认识的项目应纳入小学课程。
