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肯尼亚内罗毕县结核病治疗人员的实践经验:一种混合方法研究
Joan Ondiro1, Faith Onyangore2, Reagan Onyango3
1Jaramogi Oginga Odinga University of Science and Technology, Bondo, Kenya. joanondiro@gmail.com.
BMC public health
|December 19, 2024
概括
患者的经验对结核病治疗结果产生重大影响. 解决药物负担,耻辱和粮食不安全等因素对于改善治疗成功和公共卫生至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 以患者为中心的护理
背景情况:
- 结核病 (TB) 计划的有效性传统上依赖于临床指标,忽视了患者的观点.
- 患者的经验对于临床决策,改善医疗互动和持续的治疗参与至关重要.
- 这项研究探讨了肯尼亚内罗毕县接受结核病治疗的个人的生活经历.
研究的目的:
- 评估药物敏感性肺结核患者的生活经历.
- 从患者的角度来看,确定影响治疗结果的因素.
- 为改善结核病管理提供患者特定干预措施的信息.
主要方法:
- 在内罗毕,一项涉及392名药物敏感肺结核患者的横截面研究.
- 通过半结构化问卷和焦点小组讨论收集的数据.
- 定量数据进行描述性分析;定性数据进行主题分析.
主要成果:
- 患者报告说,尽管与卫生保健工作者进行了积极的互动,但对结核病预防和控制策略的了解不足.
- 显著的挑战包括粮食不安全,高药剂负担,不良药物特征 (味道,大小),不良药物事件和经济困难.
- 家庭和社区的耻辱对治疗结果产生了负面影响.
结论:
- 治疗结果是多因素的,受知识差距,耻辱感,粮食不安全,药物负担和经济因素的影响.
- 了解个体患者的需求对于开发有针对性的干预措施至关重要.
- 整合患者的观点可以提高结核病治疗的坚持和整体方案的有效性.
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