The Development of Guideline for Preventing the Spread of Tuberculosis infection according to Health and Social Dimension in the Correctional Institution

Abstract

This research is a participatory developmental research of prison volunteers  and caregivers of tuberculosis patients in special correctional institutions. The objectives of this research was a participatory development of prison volunteers and caregivers of TB in the correctional institution to develop and examine of using guidelines for preventing the spread of TB by health and social dimensions of TB patients in the correctional institution from May 2018 to April 2019. The sample group was selected by purposive sampling, 46 participants, including 3 professional nurses for TB patients, 30 prison volunteers, and 13 TB patients.

            The results showed that 1) the development of guidelines reflected the problems of inconsistent care management, leading a cause of having risks to be cured of TB. By studying health and social dimensions, the inmates' families and friends helped to solve the problem. Moreover, there was a clear screening system for TB transmission to community of TB inmates. 2) Development of guidelines into practice, including 2.1) guidelines of improving prison volunteers for knowledge training on TB transmission prevention, drug and treatment (DOT). It was found that 11 of 13 patients were cured, representing a success rate of 84.61%. The evaluation of knowledge after development and following the guidelines rates increased by 90 percent and 95 percent, respectively. 2.2) guidelines for screening new prisoners to prevent the spread of TB by health and social dimensions, all of them followed guidelines 100%.