Deciphering the Quality of Life among Tuberculosis Patients under RNTCP in Karnataka, India

Abstract

Background: The Tuberculosis (TB) disease has immense impact on physical, psychological, economic and social well-being of an individual. It is desired that the patient with any kind of TB disease should lead a respectable and happier life during their course of TB treatment. Currently, the quality of life (QOL) is an important indicator to assess the well-being of a person and there is paucity of such information among TB patients. Hence, we conducted to assess and compare the QOL of Revised National TB Control Programme registered Drug sensitive TB patients, Drug resistant TB patients and general population of Gadag district in Karnataka, India. Methods: A crosssectional study was conducted in Gadag district, Karnataka from March 2017 through March 2018 among drug sensitive, drug resistant TB patients and general population. A Non-probability purposive sampling was adopted to select the samples that were matched for age, gender and ward. The select patients were administered WHO QOL-BREF questionnaire by trained personnel. Data were analyzed using SPSS version 12 analysis software. Results: The scores obtained for the four domains of QOL were (a) physical health: 69.62 + 18.29 (b) Psychological: 66.96 + 18.62 (c) Environment: 60.99 + 15.05 and (d) Social relationships: 53.5 + 19.93. Conclusions: The drug resistant TB patients have poor QOL when compared to drug sensitive and general population.

Factors Affecting the Quality of Life Among Pulmonary Tuberculosis Patients: A Literature Review

“…Tuberculosis, which causes morbidity, influences a person's physical, psychological, economic, and social well-being. This is due to different factors such as stigma, financial devaluation, extended duration of therapy, numerous hospital visits, pill load, and unpleasant medication responses (Iti et al, 2019). Tuberculosis requires long-term therapy to recover fully.…”

“…Tuberculosis patients whose physical condition deteriorates, prompting them to miss work. Disruptions in this employment cause TB patients' financial income to diminish (Iti et al, 2019). Tuberculosis causes patients to lose their work opportunities (loss of income), causing a lot of difficulties for both patients and their families for medical expenses (Aggarwal, 2019).…”

“…The social aspect plays a significant role, resulting in social isolation, a lack of social support from friends and family, and a limited range of social and recreational activities. TB societal stigma and prejudice have a detrimental influence on the treatment process and the quality of life of tuberculosis patients (Iti, Mudaraddi, Nagaraja, & Shastri, 2019).…”

Self-Management Education for the Quality of Life of Patients with Pulmonary Tuberculosis

“…The world hopes is free of tuberculosis, so the quality of life in TB sufferers needs to be investigated so that the treatment process can be run optimally and continuously (Fryer et al, 2013); (Iti et al, 2019); (Ambaw et al, 2018); (Estuningsih et al, 2019). Quality of life as an individual's perception is related to their goals, hopes, standards and concerns (Iti et al, 2019); (Magharei et al, 2019); (Chang et al, 2004); (Li et al, 2017); (Grady & Gough, 2018).…”

“…Factors affecting Quality of life are physical health, psychological conditions, personal beliefs, social relationships and their relationship with important factors in their environment (Of et al, 2019); (Iti et al, 2019); (Ambaw et al, 2018); (Grady & Gough, 2018). Patients TB with drug resistant have different quality of life compared to Non-drug resistant TB patients, Non drug resistant TB patients have a better quality of life than TB resistant drug patients (Shahhamzeh et al, 2017); (Guo et al, 2009a); (Tung et al, 2013).…”