Isolation and stigma: the experience of patients with active tuberculosis.
Isolation and stigma: the experience of patients with active tuberculosis.
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DOI：
10.1207/s15327655jchn1604_3
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发表时间：
1999-01-01
影响因子：
1
通讯作者：
Kelly, P
中科院分区：
文献类型：
--
作者：
Kelly, P
结核病治疗是社区卫生计划的重要组成部分。了解不同群体的结核病患者如何经历可以影响药物治疗的完成。本研究探讨了活动性肺结核患者的样本如何经历他们的疾病。根据Kleinman（1980）的解释模型，在公共卫生诊所进行了28次半结构化访谈。分析表明，患者通过医学模式理解结核病，并将自己视为疾病载体。在他们的诊断结果公布后，几乎所有的病人都觉得他们的家人和朋友回避或回避他们。病人对这些态度的反应是孤立自己，对自己的疾病保密。了解患者的经历可以帮助护士了解可能被标记为不依从的行为，并设计解决这些行为的干预措施。改变社区的态度和行为对消除结核病提出了长期挑战。
Tuberculosis treatment is an important component of community health programs. Understanding how different groups of patients experience tuberculosis can influence the completion of drug therapy. This study explored how a sample of patients with active tuberculosis experienced their illness. Guided by questions from Kleinman's (1980) explanatory model, 28 semistructured interviews were conducted in public health clinics. The analysis suggested that patients understood tuberculosis through the medical model and perceived themselves as disease vectors. After their diagnosis became known, almost all patients felt that their family and friends avoided or shunned them. Patients responded to these attitudes by isolating themselves and becoming secretive about their illness. An awareness of patients' experiences can help nurses to understand behaviors that may be labeled as noncompliant and design interventions that address these behaviors. Modifying community attitudes and behaviors poses a longer term challenge to the elimination of tuberculosis.