Early Warning Signs and Symptoms for Screening and Diagnosing Pulmonary Tuberculosis Among Diabetes Mellitus Patients in Phukhieo-Chalermpragiet Hospital, Chaiyaphum Province
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Abstract
This retrospective case control research study aimed to investigate early warning signs and symptoms for screening and diagnosing pulmonary tuberculosis in Diabetes Mellitus patients using medical records. The participants were divided into 2 groups. The study group consisted of 59 pulmonary tuberculosis with Diabetes Mellitus patients (DM/PTB) and the control group included 166 Diabetes Mellitus patients without tuberculosis (non-DM/PTB). Comparative statistics with Odd Ratios (OR) under 95 percent confidence interval was used for data analysis. It was found that the prevalence rate of new pulmonary tuberculosis in Diabetes Mellitus was 14.99 cases per 1,000 diabetes mellitus, prevalence rate of pulmonary tuberculosis in male and female Diabetes Mellitus patients accounted for 7.62 and 7.33 cases per 1,000 diabetes mellitus. Mostly were in the age range of 50-59 years, representing 59 cases per 1,000 diabetes mellitus and living outside the municipality, representing 12.45 cases per 1,000 diabetes mellitus. Clinical signs and symptoms for screening and diagnosing pulmonary tuberculosis in diabetic patients were anorexia or eating unhealthy food, low fever or chronic fever, weight loss more than 3 kilograms in 3 months, frequent hypoglycemia, chronic cough and possession of Glycated hemoglobin (HbA1c) higher than 8.5 milligrams per cent. The results showed that Pulmonary tuberculosis prevalence rate in diabetic patients was at a high level. The findings suggest that screening clinical signs and symptoms for all diabetic patients should be addressed. Early investigation and diagnosis of Pulmonary tuberculosis in diabetic patients will be useful for patients to receive fast treatment and prevent further spread of Pulmonary tuberculosis.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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