Johansson E, Diwan V K, Huong N D, Ahlberg B M
Department of International Health and Social Medicine (IHCAR), Karolinska Institutet, Stockholm, Sweden.
Tuber Lung Dis. 1996 Apr;77(2):178-83. doi: 10.1016/s0962-8479(96)90035-0.
The study, a collaboration between the National Tuberculosis Institute, Hanoi, Vietnam and the Karolinska Institutet, Stockholm, Sweden, was carried out in a district of Quang Ninh Province in North Vietnam.
To describe tuberculosis (TB) services, attitudes of staff, and attitudes of patients considered as defaulters to TB treatment.
Two focus group discussions were carried out with staff at the district hospital. Ten defaulter patients were interviewed in their homes.
This exploratory study has revealed some important aspects of staff and patients' attitudes to TB and its treatment. Tuberculosis is considered a 'dirty' disease, which mainly affects poor people. There is a tendency to avoid telling others about it. Obvious symptoms are explained as 'being overworked'. A patient with TB feels 'less respected' by others. The social stigmatization leads to delays in seeking medical care, often only after self-medication: anti-tuberculosis drugs can be bought without prescription in various pharmacies. The patient's economic situation is also an important determinant of compliance and non-compliance. These factors need to be taken into consideration in TB control in Vietnam.
该研究由越南河内国家结核病研究所与瑞典斯德哥尔摩卡罗林斯卡学院合作开展，在越南北部广宁省的一个地区进行。
描述结核病服务、工作人员的态度以及被视为结核病治疗违约者的患者的态度。
与地区医院的工作人员进行了两次焦点小组讨论。对十名违约患者进行了家访。
这项探索性研究揭示了工作人员和患者对结核病及其治疗态度的一些重要方面。结核病被视为一种“脏”病，主要影响穷人。人们倾向于避免告诉别人自己患有此病。明显症状被解释为“工作过度劳累”。结核病患者感觉自己“不那么受他人尊重”。社会污名化导致就医延迟，通常是在自行用药之后：抗结核药物在各个药店无需处方即可买到。患者的经济状况也是依从或不依从的一个重要决定因素。在越南的结核病控制中需要考虑这些因素。
