Ngaka ya setswana, ngaka ya sekgoa or both? Health seeking behaviour in Batswana with pulmonary tuberculosis
Ngaka ya setswana, ngaka ya sekgoa or both? Health seeking behaviour in Batswana with pulmonary tuberculosis
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DOI：
10.1016/s0277-9536(98)00329-3
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发表时间：
1999-01-01
影响因子：
5.4
通讯作者：
Mazonde, GN
中科院分区：
文献类型：
--
作者：
Steen, TW;Mazonde, GN
1993/94 年期间，对 212 名博茨瓦纳涂片阳性肺结核患者的结核病 (TB) 患者求医行为以及他们对这种疾病的信念和态度进行了研究。疾病由污染（违反禁忌）引起的传统观念与通过细菌传播的现代理论之间存在明显的相似之处。结核病可能被视为“欧洲疾病”或“茨瓦纳疾病”，这对健康行为有影响。将结核病视为“茨瓦纳病”的患者可能会使用现代医学来缓解症状，但会使用传统医学来治疗他们认为的疾病原因。所有患者最终均在现代化医疗机构中得到诊断并开始特定的抗结核治疗。就诊医疗机构的中位数为 2 次，中位延误时间为 12 周。 95% 的患者采取行动的第一步是访问现代化的医疗机构。在开始特定治疗之前，52% 的患者在延迟期间尝试了一种或多种替代治疗。开始现代治疗后，47％的患者拜访或计划拜访传统治疗师或信仰治疗师。与十年前在博茨瓦纳的结核病患者中进行的一项研究相比，1993/94 年对疾病的传统解释似乎不太流行，但很少有患者从生物医学的角度对结核病有透彻的了解。更多地了解患者的求医行为和看法对于卫生工作者来说将是有用的。本研究的结果可为健康教育领域的改进提供建议。 (C) 1998 Elsevier Science Ltd. 保留所有权利。
The health seeking behaviour of tuberculosis (TB) patients, and their beliefs and attitudes with regard to the disease, was studied in 212 Batswana with smear-positive pulmonary TB during 1993/94. There is an apparent resemblance between traditional ideas of disease being caused by pollution (breaking of taboos) and modern theories of spread via germs. TB may be regarded as a 'European disease' or as a 'Tswana disease' and this has implications for health behaviour. Patients who regard TB as a 'Tswana disease' may use modern medicine for symptom relief but traditional medicine to treat what they consider the cause of the disease. All patients were eventually diagnosed and initiated specific antituberculous treatment in a modern health facility. The median number of health facility visits was two, and the median delay period was 12 weeks. 95% of patients visited a modern health facility as their first step of action. Before start of specific treatment one or more alternative treatments was tried by 52% of patients during the delay period. After starting modern treatment, 47% of patients visited, or planned to visit, a traditional healer or a faith healer. Traditional explanations of disease seemed less prevalent in 1993/94 than in a study conducted among TB patients in Botswana ten years earlier, but few patients had a thorough understanding of TB from a biomedical point of view. More knowledge about patients' health seeking behaviour and perceptions would be useful for health workers. The findings of this study could offer suggestions for improvement in the area of health education. (C) 1998 Elsevier Science Ltd. All rights reserved.