Factors affecting adherence to treatment among newly diagnosed pulmonary tuberculosis patients registered at community hospitals in Phitsanulok province
DOI:
https://doi.org/10.14456/dcj.2021.66Keywords:
Adherence to treatment, Pulmonary tuberculosis, New cases, Community hospitalsAbstract
Tuberculosis remains a major public health problem globally, as one of the top 10 causes of death worldwide, while the global TB treatment success rate has not reached the 85% success target. Adherence matter for treatment success, especially among new case pulmonary tuberculosis patients is crucial. This research was cross-sectional survey research. The objectives are to study adherence and factors affecting adherence to treatment among newly diagnosed pulmonary tuberculosis patients registered at community hospitals in Phitsanulok province during February 2018 to January 2019. The questionnaires were mailed to study sites for data collecting. There were 394 samples in total in the study. Stepwise multiple regression was use for data analysis. The results showed that most of the samples were males, average age 52.31 years, employee (37.56%), average monthly income lower than 3,000 bath (41.62%), high level knowledge on TB (62.44%), middle level psychological stress (56.85%) was detected and most of them were high level social support (64.47%). They had high level patient’s satisfaction (74.62%), with trustful in efficacy of medication (67.26%) and high level patient’s engagement (61.42%) was also seen. Low level drug side effect (63.71) was found and high level adherence detected (74.87). The factors affecting adherence to treatment among newly diagnosed pulmonary tuberculosis patients registered at community hospitals in Phitsanulok province, were the knowledge on TB, patients’ engagement, patients’ satisfaction, psychological stress, age, trusted in efficacy of medication, gender and social support, which had a relationship with the adherence to treatment of 73.80% (adj.R2 = .738, F = 139.304, p-value <.05). In conclusion, for promotion of adherence, there should be a package of TB education and along with providing social support. More caution should be addressed on younger age, female and patients who have psychological stress, Patients’ engagement, good relationship and building trust on efficacy of medication could improve tuberculosis treatment outcome.
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