在患有潜在结核病感染的患者中,结核病预防治疗的促进因素和障碍:一种定性研究
Anusha Manoharan1, H Siti Nur Farhana2, K Manimaran2
1Bandar Botanic Health Clinic, Bandar Botanic, Klang, Selangor, 42000, Malaysia.
BMC infectious diseases
|September 22, 2023
概括
了解患者的信念是结核病预防治疗 (TPT) 的关键. 潜在结核病感染 (LTBI) 的知识和医疗保健提供者沟通显著影响TPT接受和有效治疗.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 健康 行为 健康行为
背景情况:
- 结核病预防治疗 (TPT) 的决定受到各种因素的影响.
- 了解患者的健康信念和担忧对于遵守TPT至关重要.
- 本研究探讨了马来西亚初级卫生保健机构中潜伏结核病感染 (LTBI) 患者的TPT的促进因素和障碍.
研究的目的:
- 探索影响结核病预防治疗 (TPT) 决策的促进者和障碍.
- 了解被诊断患有潜伏性结核病感染 (LTBI) 的患者的健康信仰和担忧.
- 确定影响初级医疗保健中TPT合规性的因素.
主要方法:
- 对LTBI患者进行了26次深入采访.
- 利用基于自我调节的常识模型的半结构化主题指南.
- 采用了对完整采访成绩单的专题分析.
主要成果:
- 有关活跃结核病 (TB) 和其严重性的知识有助于TPT.
- 免疫状况受损和感知到的LTBI风险促进了TPT的吸收.
- 障碍包括缺乏LTBI知识,对结核素皮肤测试 (TST) 的误解,以及对药物的副作用的担忧.
结论:
- 患者对LTBI的了解显著影响了TPT的吸收.
- 患者依靠医疗保健从业人员 (HCP) 进行治疗决策.
- 提高患者和医疗人员的LTBI知识,以及改善TST质量保证,可以促进TPT的接受.
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