Care-seeking behavioural patterns, awareness and diagnostic processes in patients with smear- and culture-positive pulmonary tuberculosis in Lagos, Nigeria
Care-seeking behavioural patterns, awareness and diagnostic processes in patients with smear- and culture-positive pulmonary tuberculosis in Lagos, Nigeria
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DOI：
10.1016/s0035-9203(02)90328-7
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发表时间：
2002-11-01
影响因子：
2.2
通讯作者：
Otegbeye, AF
中科院分区：
文献类型：
--
作者：
Enwuru, CA;Idigbe, EO;Otegbeye, AF
本研究于2000年2月至2001年5月在尼日利亚的拉各斯的2个胸部转诊诊所进行，以评估168名新诊断的结核病（TB）患者的知识、态度和实践对其求医行为的影响。在出现症状时，病人在前往胸科诊所之前，先向当地一个或多个私人正统和传统保健提供者以及专利药品经销商寻求治疗。结核病知识水平和意识与胸部诊所就诊时间之间存在相关性。在32名出现症状并在4周内在胸部诊所诊断的患者中，50%了解疾病的病原体，60%对传播方式有一定的了解。在105名出现症状并在12周后确诊的患者中，97%不知道病原体，95%不知道传播方式。总体而言，有一个低水平的知识和认识的疾病，以及一个明显的高水平的不适当的医疗保健寻求行为的患者之间的研究，这可能是显着的延迟早期和准确的诊断大多数情况下。这些发现表明，迫切需要教育社区和护理提供者了解结核病的原因和传播方式，以及需要前往指定的卫生设施进行早期诊断和适当治疗。
This study was carried out in 2 chest referral clinics in Lagos, Nigeria, between February 2000 and May 2001 to assess the effects of knowledge, attitude, and practice of 168 newly diagnosed tuberculosis (TB) patients on their care-seeking behaviour. At the onset of symptoms patients sought treatment from one or more of the local private orthodox and traditional health providers, and patent medicine dealers before presenting at a chest clinic. There was a correlation between the level of knowledge and awareness of TB with time of presentation at the chest clinic. Of the 32 patients who presented and were diagnosed at the chest clinics within 4 weeks of onset of symptoms, 50% had knowledge of the aetiological agent of the disease and 60% had some idea of the mode of transmission. Of the 105 patients who presented and were diagnosed 12 weeks after the onset of symptoms, 97% had no knowledge of the aetiological agent and 95% had no idea of the mode of transmission. Overall there was a low level of knowledge and awareness of the disease as well as an apparently high level of improper health care-seeking behaviour amongst the patients studied which probably contributed significantly to the delay in early and accurate diagnosis of most of the cases. These findings indicate an urgent need to educate communities and care providers on the cause and mode of transmission of TB, and the need to attend designated health facilities for early diagnosis and proper treatment.