一项针对秘鲁利马青少年家庭结核病治疗与医疗机构结核病治疗的定性研究
B Roman-Sinche1, F M Doradea2, K Tintaya1
1Socios En Salud Sucursal Perú, Lima, Perú.
Public health action
|December 11, 2025
概括
家庭结核病 (TB) 治疗为青少年和照顾者提供了好处,减少了干扰和耻辱. 然而,医疗保健工作者
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 青少年健康 青少年健康
背景情况:
- 秘鲁的结核病 (TB) 治疗在COVID-19大流行之前主要使用基于设施的直接观察疗法 (DOT).
- 疫情引入了家庭结核病治疗,护理人员监督和智能手机的青少年视频支持治疗 (VST).
研究的目的:
- 探讨青少年,护理人员和医疗保健工作者 (HCWs) 之间的基于设施的DOT与基于家庭的结核病治疗的观点.
- 确定影响不同结核病治疗交付模式可行性和可接受性的因素.
主要方法:
- 进行了16个焦点小组,其中包括对利芬素敏感结核病的青少年,他们的护理人员和HCW.
- 利用半结构化指南和感应性主题分析来识别新兴主题.
主要成果:
- 青少年和护理人员压倒性地更喜欢在家进行治疗,因为减少了干扰,耻辱和成本.
- 有些人更喜欢以设施为基础的DOT,以保证遵守和不良反应支持.
- 医疗保健工作者倾向于基于设施的DOT,理由是担心在没有直接可视化的情况下遵守VST,并发现VST耗时.
结论:
- 家庭结核病治疗对青少年和护理人员具有显著的益处.
- 进一步的修改是必要的,以提高家庭结核病治疗在医疗保健工作者之间的可行性和可接受性.
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