Home Care Case Management Effects on Self-care Behaviors, Body Mass Index and Treatment Cooperation in Malnutrition Tuberculosis Patients
Home Care in Malnutrition Tuberculosis Patients
Keywords:
case management, malnutrition tuberculosis patients, self-care behavior, body mass indexAbstract
Tuberculosis is a major global public health problem, causing health loss, illness and death. This quasi-experimental study with one group pretest-posttest design aimed to evaluate the effects of case management combined with home treatment of malnourished tuberculosis patients on self-care behaviors, body mass index (BMI) and treatment cooperation. Study of pulmonary and extrapulmonary tuberculosis patients living in Mueang Phitsanulok District, with BMI lower than 19 kg/sqm and received treatment at pulmonary tuberculosis clinic and ward of Buddhachinnaraj Hospital, Phitsanulok, between June and November 2020, was performed in 30 patients. By receiving a case management program with seven activities consisting of 1) patient selection, 2) problem assessment, 3) coordination and development of treatment plans, 4) plan implementation, 5) continuous monitoring of patients. 6) evaluation and follow-up 7) service closure, the trial period was 24 weeks. The questionnaire and check list were approved by five experts. The data was analyzed by using mean standard deviation pair t-test and repeated measures ANOVA. It revealed that self-care behavior and mean BMI after the experiment had significantly higher scores than before attending program (p < 0.001). Thus, case management combined with home ward program promotes self-care behavior, increase BMI and treatment cooperation in malnutrition tuberculosis patients.
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