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南非林波波省结核病患者对结核病及其治疗的知识、信念和看法。

Knowledge, Beliefs, and Perceptions of TB and Its Treatment amongst TB Patients in the Limpopo Province, South Africa.

机构信息

Department of Public Health, School of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.

Department of Public Health, School of Health Care Sciences, University of Limpopo, Sovenga 0727, South Africa.

出版信息

Int J Environ Res Public Health. 2021 Oct 2;18(19):10404. doi: 10.3390/ijerph181910404.

Abstract

Despite the implementation of global plans to end tuberculosis (TB), this disease remains a major cause of ill-health and is the second leading cause of death. In 2019, globally, an estimated 10.0 million people fell ill and about 1.4 million died of TB. During the same year, South Africa was among the eight countries with the highest tuberculosis burden, contributing to two-thirds of the world's total. Due to the high burden of the human immunodeficiency virus (HIV) epidemic, TB in South Africa is a major public health problem. Limpopo is amongst the provinces that are hardest hit by TB and HIV in South Africa. Therefore, using a quantitative descriptive design, this study assessed the knowledge, beliefs, and perceptions of TB and TB treatment amongst TB patients in the Limpopo Province. A systematic random sampling method was used to sample 207 TB patients who agreed in writing to be part of the study. Data were collected using a self-administered questionnaire, however, about 3.9% of participants who could not read were assisted by the main researcher and health professional. About 33% of the participants with primary education were also assisted to clarify any questions that were not clear to them. Data were analyzed using the Statistical Package for Social Sciences version 26.0. Validity and reliability of the instrument was ensured, and ethical considerations were observed in this study. The research findings revealed that about 93.25% respondents only came to know they had TB after diagnosis. About 75% indicated that they had visited faith healers and only 2% acknowledged that they had visited traditional healers after diagnosis. A total of 76% of the respondents stated that they strongly believed in their culture and religion. These findings highlight the need for health education efforts to strengthen accurate information to improve TB knowledge and correct misconceptions about TB among patients within the community.

摘要

尽管实施了全球终结结核病(TB)计划,但这种疾病仍然是导致健康不良的主要原因,是导致死亡的第二大原因。2019 年,全球估计有 1000 万人患病,约 140 万人死于结核病。同年,南非是结核病负担最重的 8 个国家之一,占全球总数的三分之二。由于艾滋病毒(HIV)疫情负担沉重,南非的结核病是一个主要的公共卫生问题。林波波省是南非结核病和艾滋病毒负担最重的省份之一。因此,本研究采用定量描述性设计,评估了林波波省结核病患者对结核病和结核病治疗的知识、信念和看法。采用系统随机抽样方法抽取了 207 名书面同意参加研究的结核病患者。使用自我管理问卷收集数据,但对大约 3.9%无法阅读的参与者,由主要研究人员和卫生专业人员提供帮助。对大约 33%接受小学教育的参与者,也提供了帮助,以澄清他们不清楚的任何问题。使用统计软件包 26.0 进行数据分析。该仪器的有效性和可靠性得到了保证,本研究也考虑了伦理因素。研究结果表明,约 93.25%的受访者在诊断后才知道自己患有结核病。约 75%的人表示曾就医于信仰治疗师,只有 2%的人在诊断后承认曾就医于传统治疗师。共有 76%的受访者表示他们强烈相信自己的文化和宗教。这些发现强调了需要开展健康教育工作,提供准确的信息,以提高社区内患者对结核病的认识和纠正对结核病的误解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/353b/8508321/9832aa0a01cc/ijerph-18-10404-g001.jpg

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