The Effects of Nursing Practice Guidelines toward Promoting Medication Adherence for Patients with Pulmonary Tuberculosis Who are Followed up at Tuberculosis Clinic of Chomthong Hospital Chiangmai Province
Article Sidebar
Main Article Content
Abstract
BACKGROUND: Implementing a nursing practice guideline to promote continuous medication adherence among patients with tuberculosis enables elderly patients to receive care appropriate to their conditions, gain knowledge of self-care, and maintain continuous medication adherence, thereby leading to better symptom control, health, and quality of life.
OBJECTIVE: To investigate tuberculosis knowledge, medication adherence levels, and health belief among elderly patients with tuberculosis before and after receiving nursing care based on the nursing practice guideline for promoting continuous medication adherence at the Tuberculosis Clinic, Chomthong Hospital.
METHODS: A quasi-experimental study using a one-group pretest–posttest design without a comparison group was conducted between January 1 and September 30, 2024. Tuberculosis knowledge and medication adherence among elderly patients with tuberculosis were evaluated before and after the intervention. Statistical significance was set at p<0.05.
RESULTS: Before receiving nursing care based on the nursing practice guideline, the mean tuberculosis knowledge score was at a moderate level (8.9 ± 2.2), which increased to a high level after receiving
the guideline (12.1 ± 2.3). The mean medication adherence score remained at a moderate level before and after the intervention (6.1 ± 1.9 and 7.0 ± 0.3, respectively), although the mean score increased following the intervention. Comparison of outcomes before and after implementation of the nursing practice guideline showed that the median tuberculosis knowledge score increased significantly from 9 (IQR 4) to 12 (IQR 1) (p<0.001). Likewise, the median medication adherence score increased significantly from 6 (IQR 3) to 7
(IQR 0) (p=0.048).
CONCLUSIONS AND RECOMMENDATIONS: The nursing practice guideline for promoting continuous medication adherence among patients with tuberculosis should be integrated into routine nursing care for elderly patients to enhance the effectiveness of self-care management among patients with tuberculosis.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Department of Disease Control. 20year national strategy for disease prevention and control 2017 - 2036. Bangkok: Aksorn Graphic and Design; 2017.
Boonyaleepun S, Saengsuwan J, Puttapitukpol S, Klunklin A, Nantsupawat W, Srijakkot J, et al Health behaviors of working - age patients with HIV/AIDS receiving antiretroviral therapy in a tertiary care hospital. Nursing Journal CMU.2013:40(1);1–13.
Phothisai N, Piyawattanapong S. Nursing practice guidelines for promoting adherence to medication for elderly tuberculosis patients receiving services at the tuberculosis clinic Kuchinarai Crown Prince Hospital, Kuchinarai district, Kalasin province. 2017;24(2):68-73.
HDC Medical records, Chom Thong Hospital Information. Chiang Mai: Chom Thong Hospital; 2022.
Burns N, Grove S. The practice of nursing research: appraisal, synthesis and generation of evidence. 6th Edition. St. Louis: Saunders Elsevier; 2009.
Sangedee S, Wanghom W, Taiwong A, Dana K, Juntakam S, Pattitanung S. Effects of a symptom management promotion program combined with social support on knowledge, symptom management, medication adherence, and treatment outcomes for newly diagnosed pulmonary tuberculosis patients. Princess of Naradhiwas University Journal. 2024;16(1):26–41.
Thongkham S, Pinisklang P, Chanthanui K. Development of a care system for tuberculosis patients in Maha Sarakham Province. Journal of Nursing and Health Sciences. 2024: 4(1); 199-209.
Bunyang S, Sakol W, Pruksatorn T. Behavior of tuberculosis patients with irregular history of tuberculosis medication. Journal of Health Sciences and Public Health, Wachiraphuket.2022;2(1):57–66.
Teerawatananont N, Singpru S. Development of tuberculosis care model in community with participation of district health network, Nakhon Ratchasima Province. Journal of Environmental Education Medical and Health. 2024;9(3):41-52
Chuenwattana R. Tuberculosis patient care model of the public health coordination committee, Kuchinarai district, Kalasin province. Journal of Health System Research and Development. 2020: 13(2);441-7.
