Volume 10, Issue 4 (2022)
Health Educ Health Promot 2022, 10(4): 633-642 |
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Shahnavazi M, Rigi F, Heydarikhayat N. Treatment Adherence and Influencing Factors in Patients with Tuberculosis during the COVID-19 Pandemic: A Mixed Method Study. Health Educ Health Promot 2022; 10 (4) :633-642
URL: http://hehp.modares.ac.ir/article-5-60909-en.html
URL: http://hehp.modares.ac.ir/article-5-60909-en.html
1- Department of Nursing, Medical School, Iranshahr University of Medical Sciences, Iranshahr, Iran
Abstract: (1559 Views)
Aims: This study aimed to determine the adherence to treatment and affecting factors in tuberculosis patients during COVID-19 outbreaks.
Instrument & Methods: This is a mixed-method study with an explanatory sequential design. The first phase was a cross-sectional study on 108 tuberculosis patients. Data were collected with an adherence questionnaire in patients with chronic disease. Descriptive statistics and linear regression tests were used for quantitative data analysis. The second phase was a qualitative study with the conventional content analysis approach. Participants included 12 patients and healthcare providers involved in the directly observed treatment short course program for tuberculosis in related centers to Iranshahr University of Medical Sciences, Southeast of Iran.
Findings: The median scores of treatment adherence were 110.00±35.00, and 48 (44%) of subjects had poor to moderate scores. COVID-19 and non-COVID-19 factors have influenced the adherence to treatment in patients with tuberculosis patients.
Conclusion: A worldwide and unanticipated crisis can negatively affect the control of chronic diseases. Anxiety and panic over the unknown nature, lack of definitive treatment, and mortality of COVID-19 led to the disruption of the directly observed therapies program by both tuberculosis patients and healthcare providers. Giving part of the tuberculosis management responsibility to the patient and family was not an effective solution during the COVID-19 crisis.
Instrument & Methods: This is a mixed-method study with an explanatory sequential design. The first phase was a cross-sectional study on 108 tuberculosis patients. Data were collected with an adherence questionnaire in patients with chronic disease. Descriptive statistics and linear regression tests were used for quantitative data analysis. The second phase was a qualitative study with the conventional content analysis approach. Participants included 12 patients and healthcare providers involved in the directly observed treatment short course program for tuberculosis in related centers to Iranshahr University of Medical Sciences, Southeast of Iran.
Findings: The median scores of treatment adherence were 110.00±35.00, and 48 (44%) of subjects had poor to moderate scores. COVID-19 and non-COVID-19 factors have influenced the adherence to treatment in patients with tuberculosis patients.
Conclusion: A worldwide and unanticipated crisis can negatively affect the control of chronic diseases. Anxiety and panic over the unknown nature, lack of definitive treatment, and mortality of COVID-19 led to the disruption of the directly observed therapies program by both tuberculosis patients and healthcare providers. Giving part of the tuberculosis management responsibility to the patient and family was not an effective solution during the COVID-19 crisis.
Keywords: Treatment Adherence [MeSH], Tuberculosis [MeSH], COVID-19 [MeSH], Qualitative Study [MeSH]
Article Type: Descriptive & Survey |
Subject:
Health Education and Health Behavior
Received: 2022/04/16 | Accepted: 2022/07/12 | Published: 2022/09/10
Received: 2022/04/16 | Accepted: 2022/07/12 | Published: 2022/09/10
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