结核病治疗中断:对马来西亚的障碍,挑战,应对策略和促进者的定性探索
Ai Ling Oh1,2, Mohd Makmor-Bakry1,3, Farida Islahudin1
1Centre of Quality Management of Medicines, Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia.
Health promotion international
|November 25, 2024
概括
结核病 (TB) 治疗中断源于社会经济,患者和医疗保健因素. 成功应对策略和支持系统对于患者完成结核病治疗至关重要.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 定性研究是一种定性研究.
背景情况:
- 结核病 (TB) 治疗中断显著影响药物的有效性和患者的治疗结果.
- 了解结核病治疗中断的多面性质对于改善患者的治疗依从性和治疗成功至关重要.
研究的目的:
- 探索与结核病 (TB) 治疗中断相关的障碍,挑战,应对策略和促进者.
- 了解患者的旅程,以实现成功的结核病治疗结果,尽管中断.
主要方法:
- 一种现象学方法,使用深度访谈对30名患者进行深入访谈,这些患者经历了TB治疗中断,但取得了成功的结果.
- 音频录制的采访成绩单的主题和内容分析.
主要成果:
- 关键的障碍和挑战包括社会经济因素 (例如,影响工作优先级的财务负担),患者相关问题 (例如,缺乏知识,个人因素),治疗相关问题 (例如,不良药物反应,药物错误),医疗保健系统问题和与疾病相关的因素.
- 患者使用应对策略,如接受,承诺,自我适应 (精神,身体,社会) 和对不良事件的自我管理.
- 防止中断的促进因素包括对疾病恶化的恐惧,以前的经验,社会/财务支持和内在动机.
结论:
- 结核病 (TB) 治疗中断受到相互关联的社会经济,患者,治疗,医疗保健和与疾病相关的因素的影响.
- 有效的应对机制和支持性促进者对于患者克服治疗中断至关重要.
- 解决心理社会和经济障碍的以患者为中心的干预措施,以及加强患者教育,对于确保结核病治疗完成至关重要.
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