ความท้าทายในการกำกับกินยาแบบมีพี่เลี้ยงของผู้ป่วยวัณโรคในชุมชน
คำสำคัญ:
วัณโรค, การกินยาแบบมีพี่เลี้ยง, ชุมชนบทคัดย่อ
บทความนี้มีวัตถุประสงค์เพื่อนำเสนอรูปแบบการส่งเสริมการกำกับการกินยาแบบมีพี่เลี้ยงของผู้ป่วย วัณโรคในชุมชน ผลการสังเคราะห์ข้อมูลพบว่า กลยุทธ์ที่ช่วยส่งเสริมการกำกับการกินยาแบบมีพี่เลี้ยงในชุมชน ได้แก่ การเปิดโอกาสให้ผู้ป่วยวัณโรคมีส่วนร่วมในกระบวนการรักษา การเสริมสร้างพลังอำนาจให้แก่พี่เลี้ยงกำกับการกินยาโดยการส่งเสริมให้ความรู้และทักษะในการดูแลผู้ป่วยวัณโรค และการมีส่วนร่วมของของชุมชนในการลดการตีตราผู้ป่วยวัณโรค จากผลการศึกษาแสดงให้เห็นว่า บุคลากรทางด้านสาธารณสุขควรนำกลยุทธ์ดังกล่าวข้างต้นไปประยุกต์ใช้ ในการส่งเสริมให้ผู้ป่วยวัณโรคในชุมชนรับประทานยาวัณโรคจนครบตามแผนการรักษา อย่างไรก็ตาม ควรมีการวิจัยติดตามผลลัพธ์ระยะยาว เพื่อให้ได้รูปแบบในการส่งเสริมการกำกับการกินยาแบบมีพี่เลี้ยงในบริบทที่แตกต่างกันได้ชัดเจนยิ่งขึ้น
References
Adatu, F., Odeke, R., Mugenyi, M., Gargioni, G., McCray, E., Schneider, E., & Maher, D. (2003). Implementation of the DOTS Strategy for Tuberculosis Control in Rural Kiboga District, Uganda, Offering Patients the Option of Treatment Supervision in the Community, 1998-1999. International Journal of Tuberculosis and Lung Disease, 7(9), S63-71.
Arcêncio, R. A., Oliveira, M. F., Cardozo-Gonzales, R. I., Ruffino-Netto, A., Pinto, I. C., & Villa, T. C. (2008). City Tuberculosis Control Coordinators´ Perspectives of Patient Adherence to DOT in São Paulo State, Brazil, 2005. International Journal of Tuberculosis and Lung Disease, 12(5), 527-531.
Atkins, S., Biles, D., Lewin, S., Ringsberg, K., & Thorson, A. (2010). Patients’ Experiences of an Intervention to Support Tuberculosis Treatment Adherence in South Africa. Journal of Health Services Research & Policy, 15(3), 163-170. DOI: 10.1258/jhsrp.2010.009111
Atkins, S., Lewin, S., Ringsberg, K. C., & Thorson, A. (2012). Towards an Empowerment Approach in Tuberculosis Treatment in Cape Town, South Africa: a Qualitative Analysis of Programmatic Change. Global Health Action, 5, 14385. DOI: https://dx.doi.org/10.3402/gha.v5i0.14385.
Behzadifar, M., Mirzaei, M., Behzadifar, M., Keshavarzi, A., Behzadifar, M., & Saran, M. (2015). Patients’ Experience of Tuberculosis Treatment Using Directly Observed Treatment, Short-Course (DOTS): A Qualitative Study. Iranian Red Crescent Medical Journal, 17(4), 1-6. DOI: 10.5812/ircmj
Cavalcante, S. C., Soares, E. C. C., Pacheco, A. G. F., Chaisson, R. E., & Durovni, B. (2007). Community DOT for Tuberculosis in a Brazilian Favela: Comparison with a Clinic Model. International Journal of Tuberculosis and Lung Disease, 11(5), 544-549.
Courtwright, A., & Turner, A. N. (2010). Tuberculosis and Stigmatisation: Pathways and Interventions. Public Health Report, 125(4), 34-42.
Escott, S., & Walley, J. (2005). Listening to Those on the Frontline: Lessons for Community-Based Tuberculosis Programmes from a Qualitative Study in Swaziland. Social Science & medicine, 61(8), 1701-1710.
Frieden, T. R., & Sbarbaro, J. A. (2007). Promoting Adherence to Treatment for Tuberculosis: the Importance of Direct Observation. Bulletin of the World Health Organization, 85(5), 325-420. Retrieved from: https://www.who.int/bulletin/volumes/85/5/06-038927/en/.
Haglund, Bo. J. A., Pettersson, B., Finer, D., & Tillgren, P. (1996). Creating Supportive Environments for Health: Stories from the Third International Conference on Health Promotion, Sundsvall, Sweden. Geneva: World Health Organization.
Hane, F., Thiam, S., Fall, A. S., Vidal, L., Diop, A. H., Ndir, M., & Lienhardt, C. (2007). Identifying Barriers to Effective Tuberculosis Control in Senegal: an Anthropological Approach. International Journal of Tuberculosis and Lung Disease, 11(5), 539-543.
Hoa, N. P., Diwan, V. K., Co, N. V., & Thorson, A. E. (2004). Knowledge about Tuberculosis and its Treatment among New Pulmonary TB Patients in the North and Central Regions of Vietnam. International Journal of Tuberculosis and Lung Disease, 8, 603-608.
Lertmaharit, S., Kamol-Ratankul, P., Sawert, H., Jittimanee, S., & Wangmanee, S. (2005). Factors Associated with Compliance among Tuberculosis Patients in Thailand. Journal of the Medical Association of Thailand, 88, S149-156.
Lewis, C. P., & Newel, J. N. (2009). Improving Tuberculosis Care in Low Income Countries–a Qualitative Study of Patients’ Understanding of Patient Support in Nepal. Biomed Central Public Health, 9, 190, 1-8. doi: 10.1186/ 1471-2458-9-190.
Macq, J., Torfoss, T., & Getahun, H. (2007). Patient Empowerment in Tuberculosis Control: Reflecting on Past Documented Experiences. Tropical Medicine & International Health, 12(7), 873–885.
Macq, J., Solis, A., Martinez, G., & Martiny., P. (2008). Tackling Tuberculosis Patients’ Internalized Social Stigma Through Patient-Centred Care: an Intervention Study in Rural Nicaragua. BioMed Central Public Health, 8, 154. DOI: 10.1186/1471-2458-8-154
Mateus-Solarte, J. C., & Carvajal-Barona, R. (2008). Factors Predictive of Adherence to Tuberculosis Treatment, Valle Del Cauca, Colombia. International Journal of Nursing Studies, 12(5), 520-526.
Mishra, P., Hansen, E. H., Sabroe, S., & Kafle, K. K. (2006). Adherence is Associated with the Quality of Professional-Patient Interaction in Directly Observed Treatment Short-course, DOTS. Patient Education and Counseling, 63, 29-37.
Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink J. (2007). Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research. PLoS Medicine, 4(7), 1230-1245.
Munro, S., Lewin, S., Swart, T., & Volmick, J. (2007). A Review of Health Behaviour Theories: How Useful are These for Developing Interventions to Promote Long-Term Medication Adherence for TB and HIV/AIDS?. Biomed Central Public Health, 7, 104.
Okanurak, K., Kitayaporn, D., Wanarangsikul, W., & Koompong, C. (2007). Effectiveness of DOT for Tuberculosis Treatment Outcomes: a Prospective Cohort Study in Bangkok, Thailand. International Journal of Tuberculosis and Lung Disease, 11(7), 762–768.
Pungrassami, P., Kipp, A. M., Stewart, P. W., Chongsuvivatwong V., Strauss R. P., & Rie, A. V. (2010). Tuberculosis and AIDS Stigma among Patients Who Delay Seeking Care for Tuberculosis Symptoms. International Journal Tuberculosis and Lung Disease, 14(2),181-187.
Rakwong, N., Sillabutra, J., & Keiwkarnka, B. (2010). Performance Village Health Volunteers on Tuberculosis Prevention in Mahachanachai District, Yasothon Province, Thailand. Journal of Public Health and Development, 3, 252-264.
Sagbakken, M., Bjune, G. A., & Frich, J. C. (2011). Humiliation or Care? A Qualitative Study of Patients’ and Health Professionals’ Experiences with Tuberculosis Treatment in Norway. Scandinavian Journal of Caring Sciences, 313-323.
Shiotania, R., & Henninka, M. (2014). Socio-Cultural Influences on Adherence to Tuberculosis Treatment in Rural India. Global Public Health: An International Journal for Research, Policy and Practice. doi: 10.1080/17441692.2014.953562.
Suwankeeree, W., & Picheansathian, W. (2014). Strategies to Promote Adherence to Treatment by Pulmonary Tuberculosis Patients: a Systematic Review. International Journal of Evidence-Based Healthcare, 12(1), 3-16. DOI: 10.1097/01.XEB.0000444614.17658.46
Tao, T., Zhao, Q., Jiang, S., Ma, L., Wan, L., & Ma, Y. (2013) Motivating Health Workers for the Provision of Directly Observed Treatment to TB Patients in Rural China: Does Cash Incentive Work? A Qualitative Study. International Journal of Health Planning and Management, 28, e310-e324. DOI: 10.1002/hpm.2175
Tengland, P. A. (2008). Empowerment: A Conceptual Discussion. Health Care Analysis, 16, 77-96. doi 10.1007/s10728-007-0067-3.
Thiam, S., LeFevre, A. M., Hane, F., Ndiaye, A., Ba, F., Fielding, K. L., et al. (2007). Effectiveness of a Strategy to Improve Adherence to Tuberculosis Treatment in a Resource-Poor SettingA Cluster Randomized Controlled Trial. Journal of the American Medical Association, 297(4), 380–386. doi:10.1001/jama.297.4.380.
Tschirhart, N., Nosten, F., & Foster, A. M. (2016). Access to Free or Low- Cost Tuberculosis Treatment for Migrants and Refugees Along the Thailand-Myanmar Border in Tak Province, Thailand. International Journal for Equity in Health, 15:100. doi. 10.1186/s12939-016-0391-z.
Wandwalo, E., Makundi, E., Hasler, T., & Morkve, O. (2006). Acceptability of Community and Health Facility-Based Directly Observed Treatment of Tuberculosis in a Tanzanian Urban Setting. Health Policy, 78, 284-294.
Wright, C. M., Westerkamp, L., Korver, S., & Dobler, C. C. (2015). Community-Based Directly Observed Therapy (DOT) Versus Clinic DOT for Tuberculosis: a Systematic Review and Meta-Analysis of Comparative Effectiveness. BioMed Central Infectious Diseases 15, 210. DOI: 10.1186/s12879-015-0945-5
Yasin, Y., & Karabey, S. (2016). Disconnecting the DOTS: Misconceptions about the Therapeutic Paradigm of Tuberculosis Patients at Family Healthcare Centres in Istanbul. Journal of Public Health, 24, 141–146. doi: 10.1007/s10389-016-0708-9.
Zhang, H. Y., Ehiri, J., Yang, H., Tang, S., & Li, Y. (2016). Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis. PLOS ONE, 5, 1-19. DOI: 10.1371/journal.pone.0147744
Zvavamwe, Z., & Ehlers, V. J. (2009). Experiences of a Community-Based Tuberculosis Treatment Programme in Namibia: a Comparative Cohort study. International Journal of Nursing Studies, 46, 302-309.
Arcêncio, R. A., Oliveira, M. F., Cardozo-Gonzales, R. I., Ruffino-Netto, A., Pinto, I. C., & Villa, T. C. (2008). City Tuberculosis Control Coordinators´ Perspectives of Patient Adherence to DOT in São Paulo State, Brazil, 2005. International Journal of Tuberculosis and Lung Disease, 12(5), 527-531.
Atkins, S., Biles, D., Lewin, S., Ringsberg, K., & Thorson, A. (2010). Patients’ Experiences of an Intervention to Support Tuberculosis Treatment Adherence in South Africa. Journal of Health Services Research & Policy, 15(3), 163-170. DOI: 10.1258/jhsrp.2010.009111
Atkins, S., Lewin, S., Ringsberg, K. C., & Thorson, A. (2012). Towards an Empowerment Approach in Tuberculosis Treatment in Cape Town, South Africa: a Qualitative Analysis of Programmatic Change. Global Health Action, 5, 14385. DOI: https://dx.doi.org/10.3402/gha.v5i0.14385.
Behzadifar, M., Mirzaei, M., Behzadifar, M., Keshavarzi, A., Behzadifar, M., & Saran, M. (2015). Patients’ Experience of Tuberculosis Treatment Using Directly Observed Treatment, Short-Course (DOTS): A Qualitative Study. Iranian Red Crescent Medical Journal, 17(4), 1-6. DOI: 10.5812/ircmj
Cavalcante, S. C., Soares, E. C. C., Pacheco, A. G. F., Chaisson, R. E., & Durovni, B. (2007). Community DOT for Tuberculosis in a Brazilian Favela: Comparison with a Clinic Model. International Journal of Tuberculosis and Lung Disease, 11(5), 544-549.
Courtwright, A., & Turner, A. N. (2010). Tuberculosis and Stigmatisation: Pathways and Interventions. Public Health Report, 125(4), 34-42.
Escott, S., & Walley, J. (2005). Listening to Those on the Frontline: Lessons for Community-Based Tuberculosis Programmes from a Qualitative Study in Swaziland. Social Science & medicine, 61(8), 1701-1710.
Frieden, T. R., & Sbarbaro, J. A. (2007). Promoting Adherence to Treatment for Tuberculosis: the Importance of Direct Observation. Bulletin of the World Health Organization, 85(5), 325-420. Retrieved from: https://www.who.int/bulletin/volumes/85/5/06-038927/en/.
Haglund, Bo. J. A., Pettersson, B., Finer, D., & Tillgren, P. (1996). Creating Supportive Environments for Health: Stories from the Third International Conference on Health Promotion, Sundsvall, Sweden. Geneva: World Health Organization.
Hane, F., Thiam, S., Fall, A. S., Vidal, L., Diop, A. H., Ndir, M., & Lienhardt, C. (2007). Identifying Barriers to Effective Tuberculosis Control in Senegal: an Anthropological Approach. International Journal of Tuberculosis and Lung Disease, 11(5), 539-543.
Hoa, N. P., Diwan, V. K., Co, N. V., & Thorson, A. E. (2004). Knowledge about Tuberculosis and its Treatment among New Pulmonary TB Patients in the North and Central Regions of Vietnam. International Journal of Tuberculosis and Lung Disease, 8, 603-608.
Lertmaharit, S., Kamol-Ratankul, P., Sawert, H., Jittimanee, S., & Wangmanee, S. (2005). Factors Associated with Compliance among Tuberculosis Patients in Thailand. Journal of the Medical Association of Thailand, 88, S149-156.
Lewis, C. P., & Newel, J. N. (2009). Improving Tuberculosis Care in Low Income Countries–a Qualitative Study of Patients’ Understanding of Patient Support in Nepal. Biomed Central Public Health, 9, 190, 1-8. doi: 10.1186/ 1471-2458-9-190.
Macq, J., Torfoss, T., & Getahun, H. (2007). Patient Empowerment in Tuberculosis Control: Reflecting on Past Documented Experiences. Tropical Medicine & International Health, 12(7), 873–885.
Macq, J., Solis, A., Martinez, G., & Martiny., P. (2008). Tackling Tuberculosis Patients’ Internalized Social Stigma Through Patient-Centred Care: an Intervention Study in Rural Nicaragua. BioMed Central Public Health, 8, 154. DOI: 10.1186/1471-2458-8-154
Mateus-Solarte, J. C., & Carvajal-Barona, R. (2008). Factors Predictive of Adherence to Tuberculosis Treatment, Valle Del Cauca, Colombia. International Journal of Nursing Studies, 12(5), 520-526.
Mishra, P., Hansen, E. H., Sabroe, S., & Kafle, K. K. (2006). Adherence is Associated with the Quality of Professional-Patient Interaction in Directly Observed Treatment Short-course, DOTS. Patient Education and Counseling, 63, 29-37.
Munro, S. A., Lewin, S. A., Smith, H. J., Engel, M. E., Fretheim, A., & Volmink J. (2007). Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research. PLoS Medicine, 4(7), 1230-1245.
Munro, S., Lewin, S., Swart, T., & Volmick, J. (2007). A Review of Health Behaviour Theories: How Useful are These for Developing Interventions to Promote Long-Term Medication Adherence for TB and HIV/AIDS?. Biomed Central Public Health, 7, 104.
Okanurak, K., Kitayaporn, D., Wanarangsikul, W., & Koompong, C. (2007). Effectiveness of DOT for Tuberculosis Treatment Outcomes: a Prospective Cohort Study in Bangkok, Thailand. International Journal of Tuberculosis and Lung Disease, 11(7), 762–768.
Pungrassami, P., Kipp, A. M., Stewart, P. W., Chongsuvivatwong V., Strauss R. P., & Rie, A. V. (2010). Tuberculosis and AIDS Stigma among Patients Who Delay Seeking Care for Tuberculosis Symptoms. International Journal Tuberculosis and Lung Disease, 14(2),181-187.
Rakwong, N., Sillabutra, J., & Keiwkarnka, B. (2010). Performance Village Health Volunteers on Tuberculosis Prevention in Mahachanachai District, Yasothon Province, Thailand. Journal of Public Health and Development, 3, 252-264.
Sagbakken, M., Bjune, G. A., & Frich, J. C. (2011). Humiliation or Care? A Qualitative Study of Patients’ and Health Professionals’ Experiences with Tuberculosis Treatment in Norway. Scandinavian Journal of Caring Sciences, 313-323.
Shiotania, R., & Henninka, M. (2014). Socio-Cultural Influences on Adherence to Tuberculosis Treatment in Rural India. Global Public Health: An International Journal for Research, Policy and Practice. doi: 10.1080/17441692.2014.953562.
Suwankeeree, W., & Picheansathian, W. (2014). Strategies to Promote Adherence to Treatment by Pulmonary Tuberculosis Patients: a Systematic Review. International Journal of Evidence-Based Healthcare, 12(1), 3-16. DOI: 10.1097/01.XEB.0000444614.17658.46
Tao, T., Zhao, Q., Jiang, S., Ma, L., Wan, L., & Ma, Y. (2013) Motivating Health Workers for the Provision of Directly Observed Treatment to TB Patients in Rural China: Does Cash Incentive Work? A Qualitative Study. International Journal of Health Planning and Management, 28, e310-e324. DOI: 10.1002/hpm.2175
Tengland, P. A. (2008). Empowerment: A Conceptual Discussion. Health Care Analysis, 16, 77-96. doi 10.1007/s10728-007-0067-3.
Thiam, S., LeFevre, A. M., Hane, F., Ndiaye, A., Ba, F., Fielding, K. L., et al. (2007). Effectiveness of a Strategy to Improve Adherence to Tuberculosis Treatment in a Resource-Poor SettingA Cluster Randomized Controlled Trial. Journal of the American Medical Association, 297(4), 380–386. doi:10.1001/jama.297.4.380.
Tschirhart, N., Nosten, F., & Foster, A. M. (2016). Access to Free or Low- Cost Tuberculosis Treatment for Migrants and Refugees Along the Thailand-Myanmar Border in Tak Province, Thailand. International Journal for Equity in Health, 15:100. doi. 10.1186/s12939-016-0391-z.
Wandwalo, E., Makundi, E., Hasler, T., & Morkve, O. (2006). Acceptability of Community and Health Facility-Based Directly Observed Treatment of Tuberculosis in a Tanzanian Urban Setting. Health Policy, 78, 284-294.
Wright, C. M., Westerkamp, L., Korver, S., & Dobler, C. C. (2015). Community-Based Directly Observed Therapy (DOT) Versus Clinic DOT for Tuberculosis: a Systematic Review and Meta-Analysis of Comparative Effectiveness. BioMed Central Infectious Diseases 15, 210. DOI: 10.1186/s12879-015-0945-5
Yasin, Y., & Karabey, S. (2016). Disconnecting the DOTS: Misconceptions about the Therapeutic Paradigm of Tuberculosis Patients at Family Healthcare Centres in Istanbul. Journal of Public Health, 24, 141–146. doi: 10.1007/s10389-016-0708-9.
Zhang, H. Y., Ehiri, J., Yang, H., Tang, S., & Li, Y. (2016). Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis. PLOS ONE, 5, 1-19. DOI: 10.1371/journal.pone.0147744
Zvavamwe, Z., & Ehlers, V. J. (2009). Experiences of a Community-Based Tuberculosis Treatment Programme in Namibia: a Comparative Cohort study. International Journal of Nursing Studies, 46, 302-309.
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2019-09-11
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