Dilas Delker, Flores Rosarias, Morales-García Wilter C, Calizaya-Milla Yaquelin E, Morales-García Mardel, Sairitupa-Sanchez Liset, Saintila Jacksaint
Unit of Public Health, Postgraduate School, Peruvian Union University, Lima, Perú.
Research Group for Nutrition and Lifestyle Research, Peruvian Union University, Lima, Perú.
Patient Prefer Adherence. 2023 Jan 19;17:175-186. doi: 10.2147/PPA.S391930. eCollection 2023.
Peru is one of the countries with the highest burden of tuberculosis (TB) and multidrug-resistant tuberculosis (MDR-TB) in the Latin American region and globally. Health education provided by nurses reinforces social support and the quality of patient care allows a greater impact on adherence to TB treatment.
This study evaluated the mediating effect of treatment education between social support, quality of care, and treatment adherence in TB patients.
A cross-sectional study was carried out considering 162 adult TB patients from four health centers of the public sector located in the center of the city of Lima, Peru. Data were collected on variables, such as social support, quality of care, health education, and adherence to TB treatment. SmartPLS was used for data analysis.
The results showed that social support and quality of care significantly influence health education. Likewise, health education mediates social support and quality of care for better adherence to treatment.
It is recommended that hospitals take initiatives to provide better health education on TB treatment to ensure better adherence to treatment.
秘鲁是拉丁美洲地区乃至全球结核病（TB）和耐多药结核病（MDR-TB）负担最高的国家之一。护士提供的健康教育可加强社会支持，而优质的患者护理能对结核病治疗的依从性产生更大影响。
本研究评估了治疗教育在结核病患者的社会支持、护理质量和治疗依从性之间的中介作用。
开展了一项横断面研究，纳入了秘鲁利马市中心四个公共部门卫生中心的162名成年结核病患者。收集了社会支持、护理质量、健康教育和结核病治疗依从性等变量的数据。采用SmartPLS进行数据分析。
结果表明，社会支持和护理质量对健康教育有显著影响。同样，健康教育在社会支持和护理质量之间起中介作用，以提高治疗依从性。
建议医院主动提供更好的结核病治疗健康教育，以确保更好的治疗依从性。
