Effects of Network-Based Management in Preventing Tuberculosis Infection among Household Contacts in Samut Songkhram Province
Keywords:
Network management, Preventing Tuberculosis Infection, Household contactsAbstract
This action research in conjunction with tuberculosis treatment a directly observed treatment, short course (DOTS) was aim to study effects of network-based management in preventing tuberculosis infection among household contacts in Samut Songkhram Province. Sample group includes preventing tuberculosis infection network of 268 people, household contacts and tuberculosis infected patients, 135 people per group. Research instrument were questionnaires, including knowledge about tuberculosis and compliance with network's tuberculosis control guidelines and tuberculosis prevention behaviors of contacts. Statistics used included descriptive statistics, Wilcoxon signed ranks test, and paired t-test. The results found that:
Developing network to prevent tuberculosis infection among household contact consists of 5 measures include: 1) providing services, 2) being a chaperone to take care of medication, 3) surveying people with suspected symptoms of pulmonary tuberculosis in the community, 4) preventing tuberculosis in the community, 5) homes visiting. After developing the network, there was a statistically significant increase in overall knowledge scores (p<0.001) and a statistically significant increase in overall operational participation (p<0.001). Household contact found that after developing tuberculosis prevention behavior, the overall increase was statistically significant (p<0.001). Results of patient treatment showed that treatment completed 46.7%, treatment failed 21.5%, and cured 40.7%.
Therefore, developing network to prevent tuberculosis infection among household contact, had a good result for patients to a certain extent.
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