The Strategies of Japanese Public Health Nurses in Medication Support for High‐Risk Tuberculosis Patients

Abstract

The nurses interviewed described creative and extraordinary strategies used to promote medication adherence and facilitate development of a healthy posttreatment lifestyle. Their approach was patient-centered and culturally congruent. Findings may be transferrable to PHN practice in other regions as care for this economically disadvantaged and marginalized population is a critical need.

Patient support for tuberculosis patients in low-incidence countries: A systematic review

“…The 40 publications included 27 observational studies (cohort studies [ 28 , 29 , 38 – 41 , 30 – 37 ], case series [ 42 – 47 ], case-control studies [ 48 – 51 ], cross-sectional studies [ 9 , 52 ], and a costing study [ 53 ]); 9 descriptive qualitative studies (interview studies [ 54 – 59 ], a community-based ethnography [ 60 ], a focused ethnography [ 61 ], and an interpretive phenomenology [ 62 ]); 3 experimental studies (RCTs [ 63 , 64 ]), and a non-randomized controlled trial [ 65 ]) and 1 quasi-experimental study (historical before-after comparison) [ 66 ].…”

“…Publications were from the USA [ 29 , 31 , 53 , 64 , 65 , 35 , 36 , 41 , 42 , 44 , 46 , 47 , 50 ], the UK [ 9 , 43 , 51 , 54 , 57 , 61 ], Spain [ 30 , 32 , 38 , 40 ], Japan [ 52 , 56 , 59 ], Turkey [ 37 , 48 , 63 ], Canada [ 34 , 62 ], Australia [ 39 ], Greece [ 49 ], Italy [ 45 ], the Netherlands [ 28 ], New Zealand [ 60 ], Norway [ 58 ], Saudi Arabia [ 66 ] and Switzerland [ 33 ]. One study was multi-national, participating countries being Armenia, Australia, Central African Republic, India, Philippines, South Africa, Swaziland, Uganda and the UK [ 55 ].…”

“…Of the 40 publications on TB patient support, 36 included treatment supervision options [ 9 , 28 , 39 – 48 , 30 , 49 , 50 , 52 – 54 , 56 – 60 , 31 , 62 , 64 – 67 , 32 , 33 , 35 – 38 ] (19 as the sole patient support intervention [ 9 , 29 , 39 , 41 , 42 , 45 , 48 , 50 , 58 , 64 , 30 – 33 , 35 – 38 ]), 12 included SE support [ 34 , 43 , 61 , 62 , 46 , 47 , 52 , 53 , 56 , 57 , 59 , 60 ] (1 as the sole intervention [ 61 ]), 11 included PE support [ 34 , 40 , 62 , 51 , 53 – 57 , 59 , ...…”

“…Levels of intervention implementation, providers and target populations of patients support were specified in 33 [ 28 , 29 , 40 , 41 , 43 – 49 , 51 , 30 , 52 – 56 , 58 , 60 – 63 , 33 , 64 – 66 , 34 – 39 ], 20 [ 28 , 33 , 56 – 64 , 66 , 39 – 41 , 49 , 51 – 54 ] and 26 [ 28 , 30 , 46 , 47 , 49 , 51 , 52 , 54 – 58 , 34 , 59 – 61 , 63 , 64 , 66 , 35 , 38 , 40 , 41 , 43 – 45 ] publications, respectively ( Table 1 ). Interventions were organized mostly on a local [ 29 , 34 , 62 , 63 ...…”

A continuidade da assistência na visão do doente de tuberculose: uma análise discursiva

“…Podendo ser percebida pela falta de conhecimento do doente sobre a TB. Ainda é relatada a experiência com a estigmatização do doente pelo profissional, gerando um sentimento de inferioridade e humilhação comprometendo essa relação (AYISI et al, 2011;CULQUI et al, 2012;EL-DIN;ELHOSSENY;MOHSEN, 2013;FINLAY et al, 2012;GEBREKIDAN et al, 2014;HASKER et al, 2010;KIZUB et al, 2012;SHIMAMURA et al, 2012;SOUZA et al, 2010;VIJAY et al, 2010;WANG;CHEN, 2009). O comprometimento da organização dos SS é descrito por alguns autores por meio da falta de estrutura física comprometendo a privacidade do doente, ou ainda pela falta de profissionais de saúde comprometendo a qualidade da atenção por meio da sobrecarga de trabalho.…”