影响结核病患者遵循治疗指南的能力的因素 - 应用能力方法
B Aravind Chandru1, Ravi Prasad Varma2
1Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Medical College Post Office, Thiruvananthapuram, Kerala, India.
International journal for equity in health
|September 1, 2023
概括
对于许多患者来说,遵守结核病 (TB) 治疗指南是一项挑战. 社会和经济因素显著影响患者遵循复杂结核病治疗方案的能力.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 社会科学 社会科学 社会科学
背景情况:
- 结核病 (TB) 治疗包括复杂的每日药物治疗,定期的随访和调查.
- 由于许多因素,患者遵守结核病治疗指南的程度可能会有很大差异.
研究的目的:
- 评估喀拉拉邦鲁万纳普勒姆的结核病患者遵守治疗指南的能力.
- 确定影响结核病治疗的因素.
主要方法:
- 嵌入式混合方法设计利用来自135名药物敏感肺结核患者的横截面数据.
- 为了收集数据,进行了结构化问卷和八次深入访谈.
- 对访谈的诱导性分析提供了对患者对治疗坚持的选择更深入的见解.
主要成果:
- 只有28.2%的结核病患者遵守了所有七项治疗指南.
- 与更好的坚持相关的因素包括生活在联合家庭中,更高的家庭支出,以及没有延迟寻求初始护理.
- 患者的行为受到身体经验,道德观念,结核病的社会构造,程序因素和物质使用的影响.
结论:
- 结核病患者面临着生物医学和社会挑战的综合症,影响治疗坚持.
- 干预措施必须解决个人行为和社会经济决定因素,如耻辱,性别角色和贫困.
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