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Adherence to treatment in pulmonary tuberculosis: Rodgers' evolutionary concept analysis
Yunus Adhy Prasetyo1, Sureeporn Thanasilp1,2, Sunida Preechawong1
1Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Belitung Nursing Journal
|August 30, 2024
Summary
Understanding adherence to tuberculosis treatment is key for effective management. This study clarifies its complex components, including patient, clinical, and health system factors, to aid healthcare professionals.
Area of Science:
- Nursing Research
- Public Health
- Medical Sociology
Background:
- Adherence to treatment is critical for managing pulmonary tuberculosis.
- Nurses and healthcare professionals are vital in promoting patient adherence.
- Defining treatment adherence in tuberculosis patients is complex.
Purpose of the Study:
- To explore and clarify the concept of adherence to treatment in individuals with pulmonary tuberculosis.
- To develop an operational definition of treatment adherence for tuberculosis patients.
Main Methods:
- Utilized Rodgers' evolutionary concept analysis.
- Conducted a literature search in PubMed and Scopus databases.
- Included studies published between July 2013 and July 2023.
Main Results:
- Identified key attributes of adherence: biological, individual, social, health service, and policy-making processes.
- Determined antecedents including patient-related factors, clinical conditions, and patient-health professional engagement.
- Highlighted consequences such as enhanced treatment efficacy, increased commitment, and improved health service quality.
Conclusions:
- Provided a comprehensive operational definition of tuberculosis treatment adherence.
- Developed a framework to assist nurses in evaluating adherence more effectively.
- Recommended further research on patient experiences to refine adherence strategies.
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