The Association of Health Belief Model and Drugs using behavior in Multi Drug Resistant patients.The Office of Department Prevention and Control Regional No 10, Ubonratchathani Province

Abstract

This descriptive study aims at exploring the relationship between the perception and association of health belief, and, behaviors of tuberculosis patients with multi drug resistance in the Office of Disease Prevention and Control, Region 10th, Ubon Ratchathani province, Thailand. This investigation of 108 samples had been conducted from the fiscal year 2014 to 2018. The samples were randomly selected from the populations of tuberculosis patients with multi drug resistance who registered and received medical services at 5 provincial hospitals’ tuberculosis clinics and centers. The 5 hospitals are in the responsible area of Office of Disease Prevention and Control, Region 10th, Ubon Ratchathani province, under the 2014-2018 fiscal year. The sample size was calculated by using Yamane’s (1967) formula with the validity rate of 95 percent. The samples were randomly selected by means of simple random. The names of registered patients in the lists of patients with multi drug resistance report of Rifampicin and Isoniazid were drawn. The data were collected by means of a questionnaire and were analysed by using percentage and standard deviation. Pearson’s correlation coefficient was also applied in the analysis. The level of statistical significance was 0.05. The results revealed that there were 77 male tuberculosis multi drug resistance respondents (71.30%) and 31 female tuberculosis multi drug resistance respondents respondents (28.70). The ages of the respondents ranged from 61-70 (27 respondents or 25%). 78.70 % of the respondents were married. 81 (75%) respondents finished primary school. 88.90% (96 respondents) worked as farmers. The average income per month was less than TBH 5,000 (85 respondents or 78.5%). From the analysis, the satisfiction rate of the respondent patients’ opinions was high (4.23, SD=0.191). The satisfiction rate of the respondent patients’ beheviors was also high (= 4.47, SD=0.269). The analysis and discussion indicated that the the association of health belief, and, the perception and knowledge of complications and tuberculosis related diseases, the severity of multi-drug resistant TB, the benefits of following medical personnel’s suggestions, obstacles of multi-drug resistant TB treatment processes, were directely related to the beheviors of the respondent patients in a fair level with the statistical significance of 0.01 (r = .559), (r = .416), (r = .637), and, (r = .617), respectively.