影响西印度多药耐药结核病 (MDR-TB) 患者遵守治疗的因素:定性探索
Nikhilesh Ladha1, Naveen Kikkeri Hanumantha Setty2, Pankaj Bhardwaj2
1Community Medicine, Employees State Insurance Corporation (ESIC) Medical College, Alwar, Alwar, IND.
Cureus
|November 7, 2025
概括
西印度的多抗药结核病 (MDR-TB) 治疗坚持受知识差距,经济困难和社会支持的影响. 以患者为中心的策略,包括更短的疗程和财政援助,可以提高治疗成功率.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 定性研究是一种定性研究.
背景情况:
- 多药耐药结核病 (MDR-TB) 治疗存在挑战,包括长时间,副作用和影响患者坚持治疗的心理社会压力因素.
- 有限的定性研究存在于印度西部的MDR-TB患者体验.
研究的目的:
- 探索影响印度西部MDR-TB患者治疗坚持的因素.
- 确定提高患者留在护理中的策略.
主要方法:
- 在拉贾斯坦邦乔德普尔的15名MDR-TB患者参与的定性研究.
- 以当地语言 (Marwari) 进行深入的非结构化采访,然后进行主题分析.
- 有目的的抽样,以确保参与者的多样性.
主要成果:
- 确定了关键主题:知识不足,诊断延迟,治疗信心低,经济困难,副作用,社会支持不足和耻辱感.
- 患者建议使用更短的疗程,延长药物发行时间,及时提供财务支持.
- 出现了8个主要主题,影响了遵守.
结论:
- 生物医学,心理社会和结构因素显著影响印度西部的MDR-TB治疗坚持.
- 解决神话,提供支持和提供灵活的治疗方案的以患者为中心的方法至关重要.
- 加强财政援助计划和社区支持可以提高效力和结果.
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