Department of Psychiatry, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, 751024, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India.
Indian J Tuberc. 2024 Jul;71(3):353-357. doi: 10.1016/j.ijtb.2023.10.004. Epub 2023 Nov 2.
Tuberculosis and Mental Illness (TB-MI) often co-occur with a varying range of interactions of both. The rising incidence of both in Low- and Middle-income countries (LMICs) is an emergent public health problem with accompanying higher morbidity and complications in management. The objective of this review is to gather insights into how healthcare providers can enhance their support for patients with TB-MI, to improve treatment adherence and overall health outcomes. Addressing the complexities of TB-MI treatment requires a multi-component approach that includes psychological interventions, monitoring the course of mental health comorbidities, patient education, looking into barriers to adherence, and involving healthcare providers. These coupled with increased patient awareness, integrated care model, patient education and empowerment, simplified treatment approaches, social support programs, and sensitizing healthcare providers can decrease the burden on the healthcare system while improving patient outcomes.
结核病和精神疾病（TB-MI）经常同时发生，两者之间存在不同程度的相互作用。在低收入和中等收入国家（LMICs），这两种疾病的发病率都在上升，这是一个新出现的公共卫生问题，随之而来的是管理方面更高的发病率和并发症。本综述的目的是探讨医疗保健提供者如何加强对 TB-MI 患者的支持，以提高治疗依从性和整体健康结果。要解决 TB-MI 治疗的复杂性，需要采取多方面的方法，包括心理干预、监测精神健康合并症的病程、患者教育、了解治疗依从性的障碍以及让医疗保健提供者参与进来。这些措施加上提高患者的意识、整合护理模式、患者教育和赋权、简化治疗方法、社会支持计划以及使医疗保健提供者保持敏感，可以减轻医疗系统的负担，同时改善患者的预后。
