The Effects of a Motivation Enhancing Program on Adherence to Regimen and Sputum Examination among Newly Diagnosed Pulmonary Tuberculosis Patients

Abstract

Purpose: To study the results of a motivation enhancing program on adherence to regimen and sputum exam among pulmonary tuberculosis patients                                          

Design: Quasi-experimental research

Method: Sample group was 90 new pulmonary tuberculosis patients who received treatment at the Pulmonary Tuberculosis Clinic in Saraburi Hospital and Phraphutthabat Hospital, Saraburi Province. These patients were selected according to the determining qualifications and divided into groups by means of simple random sampling, including experimental group and control group, totaling 45 patients per group. In addition, the research instrument consisted of 1) A motivation enhancing program on adherence to regimen; 2) Video about knowledge on pulmonary tuberculosis and experiments of pulmonary tuberculosis patients; 3) Guideline for pulmonary tuberculosis and practices; 4) Personal record form; 5) Assessment form for cooperative behavior for treatment, and 6) Sputum examination results form. The data were analyzed by using. descriptive statistics, chi-squared statistics, Mann-Whitney U statistics, and Wilcoxon statistics

Finding: 1) Cooperative behavior for treatment of pulmonary tuberculosis patients after receiving the program regarding motivational promotion was higher than the cooperative behavior of patients before receiving the program regarding motivational promotion with a statistical significance at .05 level. 2) Cooperative behavior for treatment of pulmonary tuberculosis patients receiving the program regarding the motivational promotion was higher than the cooperative behavior of a group of patients with normal treatment with statistical significance at .05 level. 3) Sputum examination results after receiver the program motivation protection of the experimental group have more negative results than the sputum examination results of the control group by 4.44%.

Conclusion: The finding serves as base information for health care professionals to promote the motivation of adherence to regimen among pulmonary tuberculosis patients leading to increase success rate treatment.