Multidisciplinary Approach to Supporting Treatment Compliance In tuberculosis Patients

Шерстнева, Т. В.; Скорняков, С. Н.; Подгаева, В. А.; Шерстнев, С. В.; Цветков, А. И.

doi:10.21292/2075-1230-2017-95-1-34-41

Cited by 11 publications

(3 citation statements)

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“…According to the definition of the Board of Directors of the American Thoracic Society and the Executive Committee of the European Respiratory Society "Pulmonary rehabilitation accompanies the essential care of the patient, which includes education, changes in the patient's lifestyle, improves the physical and mental health of patients with chronic respiratory diseases and promotes long-term health improvement. The pulmonary rehabilitation program includes an assessment of the patient's condition, physical training, patient education, nutritional adjustment and psychological support" [10,14]. Patient rehabilitation measures after the active phase of the disease play a significant role, which must be carried out taking into account the clinical form of TB, the nature of comorbidities, individual characteristics of the body, lifestyle and other aspects.…”

Section: Discussionmentioning

confidence: 99%

“…The comorbidity changes the strategy of detection and diagnosis, treatment and monitoring of patients [9]. The mutually aggravating relationship of pulmonary tuberculosis relapses with chronic comorbidities contributes to the interdisciplinary integration of specialists [10,7]. At the same time, some aspects of this problem require research.…”

Section: Introductionmentioning

confidence: 99%

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Recurrence of Pulmonary Tuberculosis Associated with Comorbidities - Current Interdisciplinary Problem

Tudor,

Iavorschi,

Brumaru

et al. 2024

BulMed

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Introduction. The recurrence of pulmonary tuberculosis remains a significant public health problem in many countries of the world, despite the remarkable progress in the treatment and rehabilitation of patients with new cases of tuberculosis. It is demonstrated that the high incidence of recurrence of pulmonary tuberculosis is conditioned by the influence of some factors combination. Currently, the comorbidities, which impose the risk of disease recurrence directly or indirectly, are of a major importance. Thus, it is important to study the clinical and epidemiological characteristics of pulmonary tuberculosis recurrence associated with the comorbidities. Materials and methods. There were studied 715 patients with pulmonary tuberculosis recurrence, including 503 patients with comorbidities, as well as statistical reporting data for the Right Bank region of the Dniester River and ATU (Autonomous Territorial Unit) of Gagauzia, Republic of Moldova during 2019-2021. Results. The obtained results demonstrate that in phthisiopulmonology the presence of comorbidities constitutes a significant and important medico-social problem. In the structure of relapses associated with comorbidities, it was noted the predominance of extensive infiltrative processes, high frequency of cases with destruction in the lung tissue and bacillary cases. The need to review and improve the general antituberculosis measures accepted both in the work of phthisiopneumologists and primary care specialists is argued in order to improve the prognosis of TB treatment associated with comorbidities. Conclusion. The recurrence of pulmonary tuberculosis associated with comorbidities requires an integrated multidisciplinary approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Recurrence of Pulmonary Tuberculosis Associated with Comorbidities - Current Interdisciplinary Problem

Tudor,

Iavorschi,

Brumaru

et al. 2024

BulMed

View full text Add to dashboard Cite

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“…Все это затрудняет достижение клинического излечения, ведет к ухудшению прогноза заболевания и качества жизни, а также повышает затраты на лечение [8,9]. Определяющим направлением в повышении приверженности к лечению у взрослых больных является коррекция неблагоприятных социальных факторов при комплексном лечении и реабилитации пациентов [10,11] Приверженность к противотуберкулезному лечению детей -проблема, которая мало представлена в научной литературе. Очевидно, что в силу психосоциальной незрелости дети не могут в полной мере оценить важность при-верженности к терапии [12].…”

Section: Original Papers Issn 2221-2582unclassified

Assessment of Parents' Commitment to Specific Treatment of Children With Tuberculosis

Ходоренко,

Яровая,

Лозовская

et al. 2023

Children's Medicine of the North-West

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Одним из ведущих факторов, влияющих на исход туберкулеза, является отношение пациентов к длительной комбинированной терапии. Детская приверженность к противотуберкулезному лечению — проблема, которая не представлена в отечественных и иностранных источниках. Дети, болеющие туберкулезом, не могут в полной мере оценить важность приверженности к терапии. Целью исследования было оценить уровень приверженности родителей к противотуберкулезному лечению их детей. На базе туберкулезного отделения СПб ГБУЗ ДИБ № 3 проведен анализ 30 историй болезни детей в возрасте 2–13 лет с установленной туберкулезной инфекцией, требующей осуществления противотуберкулезного лечения не менее 6 месяцев. Родителям пациентов проведено анонимное анкетирование, включающее четыре блока сведений: данные об осведомленности о туберкулезной инфекции, знания о предупреждении заболевания туберкулезом, определение осознанности отношения родителей к проведению противотуберкулезного лечения, а также их личное отношение к болеющим туберкулезом лицам и к своим детям. У родителей детей с туберкулезной инфекцией был выявлен недостаточный уровень основных знаний о туберкулезе (30,0%), о мерах предупреждения туберкулеза (30,0%), необходимости следования длительному комплексному противотуберкулезному лечению (37,5%), в ряде случаев присутствовало личное опасение родителей за свое здоровье (13,3%). Своевременное изучение факторов, ведущих к низкой приверженности родителей к лечению их детей, позволит данные факторы корректировать путем проведения социально-просветительной работы и индивидуальных консультаций, при необходимости — оказания психологической помощи. One of the leading factors infl uencing the outcome of tuberculosis is the attitude of patients to longterm combination therapy. Children’s adherence to TB treatment is a problem that is not presented in domestic and foreign sources. Children with tuberculosis cannot fully appreciate the importance of adherence to therapy. The aim of the study was to assess the level of commitment of parents to anti-tuberculosis treatment of their children. On the basis of the tuberculosis department of St. Petersburg GBUZ DIB No. 3, an analysis of 30 case histories of children aged 2–13 years with an established tuberculosis infection requiring anti-tuberculosis treatment for at least 6 months was carried out. An anonymous questionnaire was conducted for the parents of patients, which included four blocks of information: data on awareness of tuberculosis infection, knowledge about the prevention of tuberculosis, determination of awareness of parents’ attitude to anti-tuberculosis treatment, as well as their personal attitude to people with tuberculosis and to their children. Parents of children with tuberculosis infections revealed an insuffi cient level of basic knowledge about tuberculosis (30.0%), about tuberculosis prevention measures (30.0%), the need to follow long-term comprehensive anti-tuberculosis treatment (37.5%), in some cases parents’ personal fear for their health (13.3%). A timely study of the factors leading to low adherence of parents to the treatment of their children will allow them to be corrected in a timely manner by conducting social and educational work and individual consultations, if necessary, providing psychological assistance.

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Effects of Psychophysiological Neurotherapy in Regulation Immune Response Combined With Standard Antituberculosis Drug Therapy in Acute Pulmonary Tuberculosis

et al. 2019

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The aim of this study was to assess optimizing effects of antistress neurotechnologies on the clinical course of acute pulmonary tuberculosis. The study was performed in three steps: upon admission before treatment, followed by repeated examination at 2 and 4 months. The patients before study were divided into the two groups: (1) 33 patients received standard antituberculosis drug therapy (SDT) and (2) 35 cases after standard antituberculosis drug therapy accompanied by neurothechnological anti-stress therapy (NAT). Patients from the NAT group received a regular audio-visual-vibrotactile stimulation as additional therapy (2 to 3 30-min sessions per week during 4 months). By the time of hospitalization, the groups did not differ in their general immune state. The percentages of CD3+, CD4+, CD8+, CD16+, CD19+as well as indexes of phagocyte activity showed some changes after 2 and 4 months of therapy. The patients from both groups before treatment exhibited lymphocytosis, decreased phagocyte activity, when compared to healthy individuals. By the end of therapy (4 months), the patients from the NAT group showed increased phagocytosis by monocytes (p < 0.01) and granulocytes (p < 0.05) which approached values of healthy control. The study demonstrated also that efficiency of combined therapy was higher in the NAT vs. SDT group: closure of lung destruction cavities was observed in 90.5% of patients from the NAT group vs 45% of patients from the STD group. The results present evidence for combined implementation of neurothechnological anti-stress therapies as a supplementary method for the standard specific drug therapy in primary infiltrative lung tuberculosis.

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Multidisciplinary Approach to Supporting Treatment Compliance In tuberculosis Patients

Cited by 11 publications

References 0 publications

Recurrence of Pulmonary Tuberculosis Associated with Comorbidities - Current Interdisciplinary Problem

Recurrence of Pulmonary Tuberculosis Associated with Comorbidities - Current Interdisciplinary Problem

Assessment of Parents' Commitment to Specific Treatment of Children With Tuberculosis

Effects of Psychophysiological Neurotherapy in Regulation Immune Response Combined With Standard Antituberculosis Drug Therapy in Acute Pulmonary Tuberculosis

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