Spelling suggestions: "subject:"tuberculosis 4patients"" "subject:"tuberculosis 42patients""
61 |
Factors influencing the quality of data for tuberculosis control programme in Oshakati District, NamibiaKagasi, Linda Vugutsa 11 1900 (has links)
This study investigated factors influencing the quality of data for the Tuberculosis (TB) control programme in Oshakati District in Namibia. A quantitative, cross-sectional descriptive survey was conducted using 50 nurses who were sampled from five departments in Oshakati State Hospital. Data was collected by means of a self-administered questionnaire.
The results indicated that the majority (90%) of the respondents agreed that TB training improved correct recording and reporting. Sixty percent of the respondents agreed that TB trainings influenced the rate of incomplete records in the unit, while 26% of the respondents disagreed with this statement. This indicates that TB trainings influence the quality of data reported in the TB programme as it influences correct recording and completeness of data at operational level.
Participants’ knowledge on TB control guidelines, in particular the use of TB records to, used to capture the core TB indicators influenced the quality of data in the programme. The attitudes and practises of respondents affected implementation of TB guidelines hence, influencing the quality of data in the programme. The findings related to the influence of the quality of data in the TB programme and its effect to decision-making demonstrated a positive relationship (p=0.0023) between the attitudes of study participant on the use of data collected for decision-making.
Knowledge, attitudes and practice are the main factors influencing the quality of data in the TB control programme in Oshakati District. / Health Studies / M.A. (Public Health)
|
62 |
The experience of enrolled nurses caring for multidrug-resistant tuberculosis patients in KwaZulu-NatalArjun, Sitha Devi 11 1900 (has links)
The purpose of this study was to explore and describe the personal
experiences of enrolled nurses while caring for patients infected with
multidrug-resistant tuberculosis (MDR-TB) in an urban tuberculosis hospital in
KwaZulu-Natal province, South Africa. Generic qualitative research was
conducted with a sample of purposively selected enrolled nurses who cared for
MDR-TB patients. Data was collected through in-depth individual interviews and
analysed using Colaizzi’s (1978) method of data analysis. The research findings
revealed six major themes: the working context, fear of contracting the disease,
problems that have an impact on the quality of nursing care, nurses' perceptions
of the patients, support structures and nurses' expressed needs. The findings of
this study indicate that the nurses work in a challenging environment and need to
be supported, as they experience more negative than positive feelings while
caring for these patients. / Health Studies / (M.A. (Health Studies))
|
63 |
Factors associated with health seeking behaviour of pulmonary tuberculosis patients in Butaleja District in UgandaMujasi, Paschal Nicholas 13 January 2014 (has links)
Pulmonary Tuberculosis (TB) is a significant cause of morbidity in Uganda. TB control in the Ugandan district of Butaleja remains poor, characterised by TB case detection and cure rates below national targets. A qualitative exploratory and descriptive study was conducted to identify factors associated with health-seeking behaviour of TB patients in Butaleja district; with an aim to present recommendations for promoting positive health-seeking behaviour amongst the patients. Data was collected through individual in-depth interviews with seven diagnosed TB patients and analysed using Creswell’s (2009:186) analytic spiral steps. The findings revealed three major themes, namely; the nature of health-seeking behaviour, factors associated with the health-seeking behaviour and advice to others experiencing similar symptoms. The health-seeking behaviour of participants was generally poor, characterised by delay in seeking proper medical treatment for TB. Health system, individual and social factors contributed to poor health-seeking behaviour among the participants. The study recommends health system and community interventions targeted at individuals to improve health-seeking behaviour for Pulmonary TB / Health Studies / M.A. (Public Health)
|
64 |
Prevalence and determinants of sputum smear non-conversion in smear positive tuberculosis patients at Ephraim Mogale Municipality, Limpopo Province, South AfricaRadingoana, Sylvia January 2017 (has links)
Thesis (MPH.) -- University of Limpopo, 2017. / The present study presents data about the prevalence and determinants of sputum smear non-conversion in smear positive tuberculosis patients. Despite the intervention by the Sekhukhune District Department of Health through continual training and workshops of professional nurses in respect of the NTCP, there are still more challenges observed in terms of TB management.
Aim: To investigate the prevalence and determinants of sputum smear non-conversion in smear positive PTB patients after intensive phase of treatment.
Method: Quantitative, descriptive retrospective study of TB records was conducted. Data collection was done by extracting data from ETR.net and exporting it to excel. Data cleaning was done before analysis. Data analysis was done using the computer Statistical Package Software for Social research (SPSS) volume 23.1.
Findings: 834 TB patients’ records were extracted from the ETR.net database. 34% of records were available at 2 – months; 57% of the patients were males; also, 81% of the patients were diagnosed/treated at PHC facilities; 52% of the patients were HIV positive; 69% percent of the patients who were smear positive grading p+++ failed to convert after two months.
In the univariate logistic regression patients with age 20 – 29 were observed to be 4.9 times likely (O.R. = 4.97) to be sputum positive (P = 0.142).Sputum grade 3(p+++) at the time of diagnosis was found to be significantly associated (P = 0.031) with sputum non – conversion after intensive phase of treatment. Conclusion: Two month sputum smear non-conversion is associated with pre-treatment sputum smear grading.
|
65 |
The development of an adapted tuberculosis directly observed treatment programme in Limpopo Province of South Africa.Mabunda, Tiyane Edith. 25 February 2013 (has links)
PHD (Health Sciences) / Department of Advanced Nursing Sciences
|
66 |
Experiences of tuberculosis patients in relation to their treatment at health services of Sibasa Local Area, Vhembe District of Limpopo ProvinceTshivhase, Livhuwani 30 January 2015 (has links)
MCur / Department of Advanced Nursing Science
|
67 |
Factors associated with the increase in new TB infections among clients in Thulamela municipality, Limpopo province, South AfricaNwendamutswu, Mbulaiseni Olive 01 1900 (has links)
MPH / Department of Public Health / Background: TB and HIV/AIDS were identified as priority healthcare problems of current years worldwide. Notable concerns (2878) were raised in Vhembe District Municipality because of an increase in patients with TB, including re-treatment patients (Department of Health, 2017).
Purpose: The main aim of the study was to investigate the factors associated with the increase of new TB infection among clients in Thulamela Municipality, South Africa.
Methodology: A quantitative descriptive survey design was used to conduct this study. Census sampling or total population sampling technique was used to select the respondents who were patients seeking treatment for TB from the designated clinics within Thulamela. Self-administered questionnaire was used to collect data from respondents. Data were analyzed using statistical package for social sciences version 25.0.
Results: out of a high proportion of the respondents 45 % (n=98) respondents were taking ARV treatment while 27% (n=58) were taking respiratory disease treatment at the time of TB diagnosis. Moreover, 59% (n=169) respondents reported being next to a coughing person before diagnosed with Tuberculosis.
Conclusion and recommendations: The results discovered that most respondents stayed in the dusty area for more than three years. Educating the community about how staying and working in dusty areas contribute to TB infection may decrease the rate of infection. / NRF
|
68 |
Power Structures in the Age of Sanatoria : A digital examination of historical patient experience in Mörsil, SwedenHansson, Elin January 2022 (has links)
Introduction. This thesis examines historical patients’ experiences of staying in sanatoria in Mörsil, Sweden, with a special focus on power structures within the institution. This thesis project is simultaneously a scholarly digital humanities inquiry using digitised sources as the material of study, and a hands-on digital humanities project in the form of a digital archive containing the materials examined in this study. Previous research suggests that there is a need to nuance the modern narrative about patients in sanatoria, and that studying patients’ own accounts is one way to do this. Method. Letters, brochures, programs, and newspaper articles and notices were studied in this thesis. Handwritten materials were automatically transcribed using the artificial intelligence tool Transkribus Lite. Omeka.net was used to publish the digitised collection online. A qualitative conventional content analysis was used to aid interpretation and processing of the study’s materials. Analysis. This study used Foucault’s (1995) theory of discipline to analyse patients’ own stories, and printed materials from the sanatoria, in order to examine the presence of power imbalances. Results. The results of this study show many varied signs of institutionalised discipline. They also provide insight into patients’ experiences at the sanatoria related to medical treatments and sanatoria practices. Conclusion. This study concludes that studying patients’ stories can provide unique insight into the practices, treatments, and the patient experience in sanatoria. This knowledge contributes to nuancing the modern view on sanatoria and its patients. / Introduktion. Den här uppsatsen undersöker historiska patienters upplevelser av att spendera tid på de sanatorier som fanns i Mörsil, Jämtland, med ett särskilt fokus på maktstrukturer inom institutionen. Uppsatsen består både av en akademisk digital humaniorafrågeställning med digitaliserade källor som empiriskt material, och ett praktiskt digitaliseringsprojekt. Tidigare forskning föreslår att det finns anledning att nyansera det moderna narrativet kring sanatoriepatienter, samt att studie av patienternas egna berättelser är ett bra sätt att åstadkomma detta på. Metod. Brev, broschyrer, program samt tidskriftsartiklar och -notiser studerades i denna uppsats. Handskrivet material transkriberades automatiskt genom Transkribus Lite som är baserat på artifciell intelligens. Omeka.net användes för att publicera studiens digitaliserade material online. En kvalitativ konventionell innehållsanalys användes för att tolka och tematisera studiens material. Analys. Den här uppsatsen använde Foucaults (1995) teori om disciplin för att analysera patienters berättelser och publicerat material från sanatorierna. Resultat. Resultaten av den här studien visar på många olika typer av institutionaliserad disciplin. Resultaten ger även inblick i andra aspekter av patienternas upplevelser, exempelvis kopplat till medicinska behandlingar och sanatoriverksamheten i stort. Slutsats. Uppsatsen visar att studien av patienters egna berättelser kan ge en unik inblick i de praktiker, behandlingar och uppplevelser som ägde rum på svenska sanatorier. Den här kunskapen bidrar till att nyansera den moderna synen på sanatorier och dess patienter.
|
69 |
Evaluation of directly observed tuberculosis treatment strategy in Ethiopia : patient centeredness and satisfactionWoldeyes, Belete Getahun 06 1900 (has links)
Text in English with questionnaire in Amharic / Purpose: The purpose of the study was to evaluate the effectiveness of the tuberculosis directly observed treatment, short-course (DOTS) strategy with respect to patient centeredness and satisfaction, and propose a model in support of the DOTS strategy in Addis Ababa, Ethiopia.
Method: The study was conducted in Addis Ababa, Ethiopia using a mixed-method approach. An interviewer-administered questionnaire was used to collect quantitative data from 601 randomly selected TB patients who were on TB treatment followup in 30 health facilities.Three focus group discussions were conducted with 23 TB experts purposefully selected from 10 sub-city health offices and health bureau. Moreover, telephonic interviews were conducted with 25 defaulted TB patients who had been attending TB treatment in the health facilities. The quantitative data were described using mean, median, percentage and frequencies. Logistic regression and exploratory factor analysis were used to extract associated factors using SPSS version 21 software. Thematic analysis was used for qualitative data analysis. Deductive and inductive reasoning was used to propose a descriptive model with substantiating literatures.
Findings: Of the 601 TB patients included, 40% of them perceived they had not received a patient-centred TB care (PC-TB care) with DOTS strategy. Gender (AOR=0.45, 95%CI 0.3, 0.7), good communication (AOR=3.2, 95%CI 1.6, 6.1), treatment supporter (AOR=3.4, 95%CI 2.1, 5.5) were associated with the perceived PC-TB care. Thirty-seven percent of TB patients were following their TB treatment with feeling of dissatisfaction with DOTS strategy. Gender (AOR=2.2; 95%CI 1.3, 3.57), place of residence (AOR=3.4; 95%CI 1.6, 7.6), presence of symptoms (AOR=0.6,
95%CI 0.40, 0.94) and treatment-supporter (AOR=4.3, 95%CI 2.7, 6.8) were associated with satisfaction of TB patients. TB experts and defaulted TB patients pointed out that DOTS strategy is not providing comprehensive PC-TB care except the provision of facility choice where to follow during initiation of the treatment. DOTS delivery system inflexibility, loose integration, HCPs’ characteristic, communication skill and motivation and the community awareness were explored factor with patient centeredness of DOTS. DOTS delivery system, incompatible of diagnosis and patient beliefs were the identified categories to default. The proposed PC-TB care model core constructs are patient, community, health care providers, health care organisation and TB care delivery system. The core constructs are directed by policy and monitoring and evaluation components.
Conclusion: DOTS strategy is limited to provide fully integrated PC-TB care and did not provide full satisfaction to TB patients. Therefore, a support that makes the TB care patient-centred are important and the proposed PC-TB care model needs to be tested, practiced and evaluated for its performance toward increments of patient centeredness of TB care. / Health Studies / D.Litt. et Phil. (Health Studies)
|
70 |
Offrir une réponse aux besoins médicaux et psychosociaux des patients tuberculeux au Burkina Faso: quelles stratégies adopter ? / Responding to the medical and psychosocial needs of tuberculosis patients in Burkina Faso: what strategies to adopt ?Drabo, Koiné Maxime 08 December 2008 (has links)
Résumé exécutif<p>Introduction.<p>La prise en charge (PEC) des malades de tuberculose a été confiée à des institutions spécialisées et réduite aux seuls aspects biomédicaux du problème. En associant une revue de littérature sur les dimensions du problème posé par la tuberculose et un état des lieux sur la prise de charge de la tuberculose, les besoins non couverts par les centres de diagnostic et de traitement (CDTs) ont été identifiés dans trois districts sanitaires (DS) ruraux du Burkina Faso. Le recueil des évidences sur les interventions à même de corriger ces insuffisances (dans la littérature), associé à l’expérience des acteurs sur le terrain ont conduit à la mise en place d’un dispositif de soins. Ce dispositif intègre i) la décentralisation de la prise en charge des malades des CDTs vers les centres de santé de 1er échelon (CS), ii) l’organisation d’un soutien psychosocial au profit des malades en traitement et iii) la mise en contribution de personnes ressources pour offrir un soutien socioéconomique aux malades. Le présent travail s’intéresse à la conception et le test du dispositif au cours d’une phase pilote.<p> <p>La question générale de recherche était de savoir si un tel dispositif pouvait améliorer significativement non seulement les résultats biomédicaux, mais aussi le confort physique, psychologique et matériel des malades pendant leur traitement. Trois hypothèses, faisant référence aux interventions clé du dispositif de soins, ont guidé l’investigation de cette question :<p> i) Une décentralisation du diagnostic, de l’administration des médicaments et du suivi du traitement de la tuberculose, des CDT vers les CS va contribuer à réduire pour les malades la distance à parcourir et accroitre de ce fait le taux de dépistage.<p> ii) Un soutien psychosocial va renforcer l’estime de soi des patients tuberculeux et réduire la stigmatisation ressentie par eux. Elle contribuera à améliorer le confort psychologique des malades ainsi que les résultats de traitement. <p> iii) Un soutien socioéconomique bien coordonné va résoudre les besoins de base des patients tuberculeux (transport, nourriture, habillement, etc.). Il va contribuer à améliorer les conditions de vie des malades ainsi que les résultats de traitement.<p><p>Le contenu du présent document comprend cinq parties. La première propose une introduction, la démarche générale et le contexte où le test du dispositif a été mis en place. La seconde présente les dimensions du problème posé par la tuberculose, un état des lieux sur l’offre actuelle de soins et les interventions potentiellement efficaces pour combler les besoins non couverts. La troisième partie décrit comment le dispositif de soin a été conçu et modélisé. La quatrième partie décrit le processus d’implantation et le fonctionnement du dispositif. Enfin, la dernière partie propose une discussion générale et quelques leçons apprises. <p><p>Première partie :Introduction, contexte et approche méthodologique générale. <p>Dans un chapitre introductif, nous mettons en exergue les défis que représente la promotion de la santé, le centre d’intérêt de la thèse, l’énoncé de la question de recherche et le cheminement méthodologique. Le cheminement utilisé est emprunté au modèle proposé par Campbell et Loeb pour la mise en œuvre et l’évaluation des interventions complexes. Il comporte quatre phases :i) la phase de modélisation, ii) la phase pilote, iii) la phase d’expérimentation définitive et iv) la phase d’implantation à long terme. La conception-modélisation et le test du dispositif de soins au cours d’une phase pilote ont fait l’objet du présent travail. <p><p>Le second chapitre présente le site de l’expérience. Six districts sanitaires ruraux sont répartis en un site d’intervention (3 districts couvrant un total de 8 453 km2 avec une population de 726 651 habitants en 2005) et en un site contrôle (3 autres districts couvrant un total de 9636 km2 avec une population de 719946). Les 2 sites partagent les mêmes réalités concernant l’organisation des soins en deux échelons (centres de santé de 1er échelon et hôpitaux de référence), la couverture en infrastructures (avec un rayon moyen de couverture par CS d’environ 6 kilomètres), l’organisation de la prise en charge de la tuberculose et les résultats du contrôle de cette maladie. La fréquentation des services de soins curatifs est considérée faible dans les 2 sites, comme dans les autres DS ruraux du pays. Elle se justifierait par les barrières financières, les pesanteurs socioculturelles, les perceptions négatives des populations vis à vis des services de santé et l’absence de système performant pour la prise en charge des urgences et des indigents.<p><p>Dans le troisième chapitre, un cadre général d’analyse de l’implantation du dispositif et de l’évaluation de son efficacité est proposé. Des précisions sont données à propos des centres d’intérêt, du but final de l’expérience et des méthodes utilisées pour vérifier les hypothèses de recherche. Une étude du processus d’implantation sert à analyser les interactions entre les acteurs et à identifier les obstacles rencontrés de même que les insuffisances du dispositif. Une étude quasi expérimentale sert à évaluer l’efficacité du dispositif. <p> <p>Deuxième partie :Phase théorique. <p>Dans le quatrième chapitre, les insuffisances de l’offre de soins par les CDTs sont décrites et une revue de littérature sur les dimensions du problème posé par la tuberculose est présentée. Les 3 interventions susceptibles de couvrir les lacunes de l’offre actuelle de soins sont alors identifiées. <p><p>Troisième partie :Phase de modélisation du dispositif de soins.<p>Dans un cinquième chapitre, le processus de modélisation du dispositif est décrit. Une simulation du fonctionnement du dispositif permet de prévoir les effets directs et indirects. Les outils de documentation et d’évaluation du dispositif sont présentés. <p><p>Quatrième partie :Développement de la phase pilote. <p>Cette partie se compose de 4 chapitres qui sont: la présentation des interventions, des résultats intermédiaires, des interactions entre ces interventions et le système de santé. L’évaluation des effets observés termine cette partie.<p><p>Le sixième chapitre présente la manière dont le dispositif a été mis en place et son fonctionnement. En partant d’une démarche standardisée, obtenue après une concertation entre les différents acteurs (professionnels de santé et personnes issues du milieu de vie des malades), trois interventions ont été implantées dans les districts d’intervention. Il s’agit de la décentralisation du diagnostic et du traitement de la tuberculose dans 24 CS (8 / district), la mise en place de sessions de groupes de parole dans chaque CDT au profit des malades et la mise en place d’un comité de soutien dont les membres sont issus de l’environnement socioculturel des malades. <p><p>Le septième chapitre présente les résultats intermédiaires de chaque intervention.<p>Le huitième chapitre an\ / Doctorat en Sciences médicales / info:eu-repo/semantics/nonPublished
|
Page generated in 0.0948 seconds