Factors affecting self-care behaviors among tuberculosis patients, Phichit Province

Authors

  • Phitchayapha Pokkhrong Student in Master of Public Health Program, Faculty of Public Health, Naresuan University
  • Archin Songthap Associate Professor, Faculty of Public Health, Naresuan University

Keywords:

Perceptions of tuberculosis prevention, Phichit Province, Tuberculosis patients, Self-care behaviors

Abstract

     This study is a cross-sectional analytical study aimed to examine self-care behaviors and the factors affecting self-care behaviors among tuberculosis patients in Phichit Province. The study consisted of 250 new tuberculosis patients selected through systematic random sampling. Data were collected using a validated questionnaire that included personal factors, knowledge about tuberculosis, perceived susceptibility to tuberculosis transmission, perceived severity of tuberculosis, perceived self-efficacy in preventing tuberculosis transmission, perceived outcomes of preventing tuberculosis transmission, and self-care behaviors. The questionnaire’s content validity ranged from 0.67 to 1.00, and reliability coefficients ranged from 0.742 to 0.891. Data were analyzed using frequency, percentage, mean, standard deviation, and stepwise multiple regression analysis at a significance level of 0.05
     The results revealed that the majority of the tuberculosis patients demonstrated a high level of self-care behavior 91.6% (Mean = 3.51, S.D. = 0.36). The variables that significantly predicted self-care behavior among tuberculosis patients were perceived self-efficacy in preventing tuberculosis transmission ( = 0.601, p-value < 0.001) and alcohol consumption ( = -0.125, p-value = 0.013), together accounting for 37.1% of the variance in self-care behaviors. Health personnel can use the results of this study to promote health among tuberculosis patients to change their self-care behavior to prevent the spread of the disease to others, especially promoting perceived self-efficacy in preventing the spread of tuberculosis and reducing or quitting alcohol consumption.

References

Abdul, A. A. H., Gita, M., Resti, U. A., & Sukadiono. (2020). Predictor factors of tuberculosis transmission prevention in Surabaya Indonesia. Systematic Reviews in Pharmacy, 11(8), 137-141.

Aek-apichon, T. (2018). Factors related to participation in tuberculosis prevention control of health volunteers at Bang-Lunk Health Promotion Hospital, Muang District, Chumporn Province. Journal of Health Research and Innovation, 1(1), 12-24. (in Thai)

Best, J. W. (1977). Research in education. (3rd ed.) Englewood Cliffs, New Jersey: Prentice Hall.

Bloom, B. S. (1971). Handbook on formative and summative evaluation of student learning. New York: McGraw–Hill.

Chotchai, T. (2011). Factors related to the health care behaviors among pulmonary tuberculosis patient in the office of Public Health, Khon Kaen Province area. Thai Dental Nurse Journal, 22(1), 62-75. (in Thai)

Division of Tuberculosis Thailand. (2021). National tuberculosis control programme guideline, Thailand 2021. (2nd ed.). Bangkok: Aksorn Graphic and Design publishing house. (in Thai)

Division of Tuberculosis Thailand. (2024). Pamphlet No.2 of END TB. Retrieved January 25, 2025, from https://www.tbthailand.org/ (in Thai)

Jung, E. Y. (2018). Factors related to medication adherence in adult patients with tuberculosis. Korean Journal of Adult Nursing, 30(5), 493-503.

Lee, H. K., & Lee, G. U. (2024). Factors related to self-care in Korean patients with tuberculosis: A systematic review and meta-analysis. Medicine 2024, 103(39), e39920. https://doi.org/10.1097/MD.0000000000039920

Masoud, Z., Zakieh, A., Mohammad, V., & Hamidreza, B. T. (2017). Investigating the relationship between components of Pender’s Health Promotion Model and self-care behaviors among patients with smear-positive pulmonary tuberculosis. Evidence Based Care Journal, 6(4), 7-17.

Ministry of Public Health Thailand. (2017). Thailand operational plan to end tuberculosis 2017-2021. (Ed.). Bangkok: Aksorn Graphic and Design publishing house. (in Thai)

Ministry of Public Health Thailand. (2021). National tuberculosis information program. Retrieved June 12, 2021, from https://ntip-ddc.moph.go.th/ (in Thai)

Ministry of Public Health Thailand. (2025). NTIP (National tuberculosis information program). Retrieved January 25, 2025, from https://ntipapp.ddc.moph.go.th/ntip_frontend/TreatmentOutcome (in Thai)

Muahama, S., Maedong, N, Pimwong, S., Booonrod, T., Simla, W., & Sriraksa, S. (2019). Patient and health system delay in pulmonary tuberculosis: Systematic review. Journal of Health Science, Thaksin University, 1(2), 40-49. (in Thai)

Noorratri, E., Margawati, A., & Dwidiyanti, M. (2017). Improving self-efficacy and physical self-reliance of patients with pulmonary tuberculosis through mindfulness. Nurse Media Journal of Nursing, 6(2), 81-90.

Park, E. H. (2020). Support system, stigma and self-care behaviors in patients with pulmonary tuberculosis. Journal of Korean Biological Nursing Science, 22(4), 288-296.

Patimin, K., Bunthan, W., & Khungtumneam, K. (2024). Factors predicting pulmonary tuberculosis infection prevention behavior among male prisoners in a provincial prison, the Southern Region. Nursing Journal CMU, 52(1), 225-268.

Pradabpetch, C. (2021). Tuberculosis perceptions and prevention behavior among village health volunteer in Nong Saeng District, Saraburi Province. Journal of Medical and Public Health Region 4, 11(2), 60-71. (in Thai)

Rogers, R. W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In Cacioppo, J. T. & Petty, R. E (Eds.), Social Psychophysiology (pp. 153-177). New York, NY: Guilford Press.

Thirarattanasunthon, P., Sidae, S., Kongtuk, T., Mhadar, A., Wongrit, P., & Raksanam, B. (2021). Factors associated with self-care behaviors among new pulmonary tuberculosis cases in Thasala Hospital, Nakhon Si Thammarat Province. Thai Journal of Public Health and Health Sciences, 4(2), 138-147. (in Thai)

Wayne, W. D. (1995). Biostatistics: A foundation of analysis in the health sciences. (10th ed.). New York: John Wiley & Son, Inc.

Wongchana, T., & Songthap, A. (2024). Factors affecting tuberculosis (TB) prevention behaviors among household contacts in Phitsanulok Province, Northern Thailand: Implications for TB prevention strategy plan. BMC Infectious Diseases, 24(1), 1429. https://doi.org/10.1186/s12879-024-10327-x. (in Thai)

World Health Organization. (2024, October 29). Global tuberculosis report 2024. Retrieved January 25, 2025, from https://www.who.int/publications/i/item/9789240101531

Downloads

Published

2025-12-28

How to Cite

Pokkhrong, P., & Songthap, A. (2025). Factors affecting self-care behaviors among tuberculosis patients, Phichit Province. Journal of Public Health and Health Sciences Research, 7(3), 63–75. retrieved from https://he01.tci-thaijo.org/index.php/JPHSR/article/view/279150