Quality of life and its effective factors in tuberculosis patients receiving directly observed treatment short-course (DOTS)

Salehitali, Shahriar; Noorian, Kobra; Hafizi, Masoud; Dehkordi, Ali Hassanpour

doi:10.1016/j.jctube.2019.100093

Cited by 42 publications

(39 citation statements)

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“…This behavior, however, should be mitigated as low adherence or non‐adherence to TB‐DOTS regimen negatively affects the patient, their loved ones, and the healthcare sector. Patients who are non‐adherent to TB medications increases the risk for drug resistance thus, leading to prolonged infectivity (O'Donnell, Wolf, Werner, Horsburgh, & Padayatchi, ) and poor quality of life (Salehitali, Noorian, Hafizi, & Dehkordi, ). The loved ones of the infected patient who live with them in the same household may also contract the disease thus, affecting the overall health status and productivity of the family (Chorba & Jereb, ).…”

Section: Discussionmentioning

confidence: 99%

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

Baniqued

Ballecer

Ballesteros

et al. 2020

Public Health Nursing

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Objective:To determine the influence of community health nurses' social support on non-adherence with the maintenance phase of directly observed therapy (DOTS) among patients with tuberculosis (TB).Design: Prospective-cohort. Sample:One hundred purposively selected patients with TB starting with DOTS maintenance phase. Measurements:Participants answered the robotfoto and Berlin Social Support Scale (BSSS) to assess demographics and social support provided by nurses. Non-adherence was measured using the attendance record and documented in an abstraction form.Cox proportion-hazards regression determined the influence of social support provided by nurses to non-adherence. Results:With a median adherence of 3 weeks, 15% of the sample was non-adherent. The hazard of non-adherence was lower with high perceived emotional support (HR = 0.25, p = .046), perceived instrumental support (HR = 0.20, p = .044), perceived support seeking (HR = 0.27, p = .045), and received emotional support (HR = 0.45, p = .045).High received emotional support increased non-adherence (HR = 2.65, p = .039). Conclusion: Social support from nurses influenced DOTS non-adherence among patients with TB, a critical issue in the development of drug-resistance. Perceived emotional, instrumental, support seeking and received emotional support decreased the hazard of non-adherence, while received emotional support increased non-adherence. This study highlights the need to promote positive perception of instrumental support needs. Appropriate interventions should be provided to promote supportseeking skills. K E Y W O R D S community health nurses, DOTS program, perceived social support, Philippines, received social support 2 | ME THODS | Research design, subjects, and settingThis study employed a prospective-cohort design and recruited participants who were at least 18 years old, category I (newly diagnosed, smear-positive) pulmonary TB patients, about to start the maintenance phase of the DOTS program.A total of 100 purposively selected participants were included which yielded a power of 99.97% at a significance of 5% (two-tailed).This study was conducted in selected health centers from the cities of Manila, Quezon, and Marikina, Philippines. These health centers are accredited DOTS Satellite Treatment Centers of the Philippine Department of Health and provide a variety services for patients with TB. | Data measuresParticipants completed a two-part survey composed of the robotfoto and the BSSS. The robotfoto, a Dutch term denoting one's

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Section: Discussionmentioning

confidence: 99%

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

Baniqued

Ballecer

Ballesteros

et al. 2020

Public Health Nursing

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“…This study also found respondents who experience moderate-to-severe stress levels with good quality of life, this is because patients have the ability and opportunity ICHT 2019 to deal with and control the conditions they experience, so that people can maintain their quality of life in a more positive direction. This is also influenced by interpersonal factors, including social relations in the family Because social support, family, relatives, and peers can make a person's quality of life good [10]. This study also found respondents who experienced moderate-to-severe stress levels with poor quality of life.…”

Section: Discussionmentioning

confidence: 53%

The relationship of stress level and quality of life among patients with Tuberculosis in Makassar, Indonesia

Wijaya

Musmulyadi

Ummah

2019

KLS

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Background: Pulmonary tuberculosis is caused by Mycobacterium tubekulosis which can affect most organs of the body is the lungs. Chronic pain conditions tend to cause increased stress associated with decreased physical function, treatment and death threats. Physical, environmental and psychosocial conditions are factors that influence life quality of the patients. Objectives: the aim of this research was to find out the correlation of the stress level and life quality of the patients with pulmonary tuberculosis at Balai Besar Kesehatan Paru Masyarakat Makassar. Method: this is an analytical survey research that employed the approach of cross sectional study. The research was conducted in 21 of January to 7 ℎ of February 2019 at Balai Besar Kesehatan Paru Masyarakat Makassar. The sample was selected by using purposive sampling based on the inclusion and exclusion and as many as 37 samples were chosen as the respondents. The data were gathered by questionnaire, data collection instrument for stress level using DASS-14 and life quality using WHOQOL-BREF-26, then processed by SPSS and analyzed by statistical test of Kolmogorov Smirnov with the significance degree of 95% (α=0,05). Result: the result showed that the mild stress level and good life quality was found in 19 (79.2%) respondents, moderate stress level with good life quality was found in 3 (27.3%) respondents, severe stress level and good life quality was expressed in 0 (0.0%) respondent, mild stress level with bad life qulaity was found in 5 (20.8%) respondents, moderate stress level with bad life quality in 8 (72.7%) respondents, and severe stress level with bad life quality was 2 (100%) respondents. The test result of the value of p = 0.013, means the value of p was lower than α =0.05. Conclusion: there were associations between stress level and the life quality of the patients with pulmonary tuberculosis at Balai Besar Kesehatan Paru Masyarakat Makassar.

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“…ShahriarSalehitali et al, [19] and Patel PG et al, [20] had conducted a similar study but obtained different results. Shariariarconcluded that Gender and residential area were signi icant in causing PTB, whereas, Patel concluded that Gender, SES and age were not a signi icant association in causing PTB.…”

Section: Discussionmentioning

confidence: 95%

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

Varghese¹,

Poulose²,

G³

et al. 2020

ijrls

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Tuberculosis (TB) is potentially airborne severe infectious disease which requires long term treatment. It considerably affects the physical and mental health quality of the patient’s life. Appropriate patient counselling with the help of Patient Information Leaflet will help to improve the patient’s quality of life and overall treatment outcome. To enhance the health related quality of life in pulmonary tuberculosis patients by providing patient counselling with the aid of patient information leaflet. An interventional study was carried out for six months in 80 patients diagnosed with pulmonary tuberculosis from the OP & IP of Tuberculosis and Chest Department of a medical college hospital. The HRQoL was assessed using the SF-36 questionnaire. Appropriate patient counselling was provided with the help of Patient Information Leaflet. In our study, a total of 80 patients were enrolled, out of which 49[61%] were Out-patients, and 31[39%] were In-patients. All the 8 sub domains of the SF-36 survey show statistical significance with improvement in 2nd Visit (after counselling) when compared with the baseline visit. The demographic variables like smoking, low socioeconomic status, allergies, family history show statistically significant association with overall HRQoL. The HRQOL of the pulmonary tuberculosis patients were initially low before the start of Anti-TB therapy, after providing proper patient counselling using patient information leaflet the HRQoL scores were found to be increased on the subsequent re-visits, which implies the need of proper patient counselling and follow-up in PTB for the better quality of life.

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Quality of life and its effective factors in tuberculosis patients receiving directly observed treatment short-course (DOTS)

Cited by 42 publications

References 15 publications

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

The relationship of stress level and quality of life among patients with Tuberculosis in Makassar, Indonesia

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

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