Factors Related to Adherence to Multi-Drug Resistant Tuberculosis Treatment
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Abstract
The purposes of this descriptive research study were to describe adherence to
treatment of multi-drug resistant tuberculosis (MDR-TB), and examine relationships between
patient factors, attitude towards MDR-TB and treatment, social support, disease characteristics,
medication factors, and clinical setting factors with adherence to treatment of multi-drug
resistant tuberculosis (MDR-TB). Purposive sampling was used to recruit a sample of 75
patients with MDR-TB who sought services at Makarak Hospital, Kanchanaburi Province.
Data were collected using a structured interview guide from September to December 2017.
Descriptive statistics and Chi-Square test were used to analyze the data. The study revealed
that attitude towards MDR-TB and treatment, overall and subscales of social support, as well
as convenient access to service, had significant relationships with adherence to treatment of
MDR-TB. However, age, gender, marital status, education, income, disease characteristics,
medication factors, distance to a clinic, traveling time to a clinic, waiting time at the clinic to
receive health services, convenience of the clinic, and frequency of appointment visits had no
significant relationship with adherence to treatment of MDR-TB. The results of this study are
useful for enhancing adherence to the treatment of MDR-TB. Patients should be informed
about the proper use of MDR–TB medications and the benefits of adherence to the treatment
of MDR–TB. Nurses should educate and motivate patients with positive attitudes towards the
treatment of MDR–TB, along with promoting social support and convenient access to services
to increase the MDR–TB cure rate.
Keywords: Multi-drug resistant tuberculosis, Adherence to treatment, Attitude, Social support
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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