Junior Resident, Department of Community Medicine, Burdwan Medical College, Purba Bardhaman, West Bengal, India.
Assistant Professor, Department of Community Medicine, Burdwan Medical College, Purba Bardhaman, West Bengal, India.
Indian J Tuberc. 2024;71 Suppl 2:S178-S183. doi: 10.1016/j.ijtb.2023.04.005. Epub 2023 Apr 18.
Undernutrition is a risk factor for developing tuberculosis (TB) and adherence to treatment leads to successful treatment outcomes.
To assess the nutritional status and adherence to treatment among tuberculosis patients in Bhatar Community Development Block of Purba Bardhaman district, West Bengal, India.
MATERIAL & METHODS: A cross sectional descriptive study was conducted among all the 82 tuberculosis patients registered between April to June, 2021, under NTEP in Bhatar tuberculosis unit (TU), who completed at least 1 month of therapy. Nutritional status was assessed based on BMI and adherence to treatment was evaluated by interviewing with a validated version of Morisky Medication Adherence Scale (MMAS-8-Item). Data was analysed using SPSS v23.
Among the 82 subjects, 51 (62.2%) were found to be underweight and overall high level of adherence to treatment was found among 51 (62.2%) of study subjects. Subjects aged >45 years (AOR 3.686, 95% CI: 1.147-11.842) and having extra-pulmonary Tuberculosis (AOR 8.539, 95% CI: 1.305-55.871) were significantly associated as being adherent to treatment.
Health education, awareness and more vigilant monitoring is still needed so that TB patients can be cured successfully. Special attention needs to be given on the nutritional status of the TB patients.
营养不良是罹患结核病（TB）的一个风险因素，而坚持治疗则可带来成功的治疗结果。
评估印度西孟加拉邦布尔达曼县巴塔社区发展区的结核病患者的营养状况和治疗依从性。
在 2021 年 4 月至 6 月期间，对在巴塔结核病单位（TU）下登记并完成至少 1 个月治疗的所有 82 名结核病患者进行了一项横断面描述性研究。根据 BMI 评估营养状况，通过对 Morisky 药物依从性量表（MMAS-8-Item）的验证版本进行访谈评估治疗依从性。使用 SPSS v23 进行数据分析。
在 82 名受试者中，有 51 名（62.2%）体重不足，总体上有 51 名（62.2%）受试者的治疗依从性较高。年龄>45 岁的受试者（AOR 3.686，95%CI：1.147-11.842）和患有肺外结核病的受试者（AOR 8.539，95%CI：1.305-55.871）与治疗依从性显著相关。
仍需要开展健康教育、提高认识和更严格的监测，以使结核病患者能够成功治愈。需要特别关注结核病患者的营养状况。
