The Relationship between Knowledge and Delay in Seeking Treatment among Pulmonary Tuberculosis Patients, Nakhon Ratchasima Province
Keywords:
knowledge, delay, pulmonary tuberculosisAbstract
This mixed methods research aimed to study the relationship between knowledge and delay in getting treatment among pulmonary tuberculosis (PTB) patients in Nakhon Ratchasima province. The research included 2 phases: a quantitative phase based on questionnaire surveys, and a qualitative phase based on individual in-depth interviews. The participants were PTB patients aged 18 years or more who were treated at 9 hospitals in Nakhon Ratchasima province between July to December 2018. The survey was undertaken with 300 participants, while the interviews were conducted with 25 participants identified with delay in seeking TB treatment. Quantitative data were analyzed by descriptive statistics: frequency, percentage, median, minimum, and maximum, and by inferential statistics: Chi-square test and Mann-Whitney U test. Qualitative data were analyzed by content analysis.
The results from the survey showed that delay in getting TB treatment was significantly associated with levels of education, suspecting of having TB, having previous TB knowledge, and difference in TB knowledge score. Moreover, the findings from the interviews found that participants with the delay had inadequate TB knowledge or incorrect knowledge which resulted in misunderstanding, lack of recognition, and lack of accessibility to the appropriate treatment.
Therefore, developing active training programs to provide adequate correct TB knowledge – especially about causes, signs, and symptoms among risk groups – may encourage people to recognize and seek health care initially. This may decrease the severity of the disease, mortality, and transmission in household, community and social.
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