Health care workers' knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria, 2011.
Health care workers' knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria, 2011.
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DOI：
10.11694/pamj.supp.2014.18.1.3408
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Nsubuga, Peter
中科院分区：
文献类型：
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作者：
Ibrahim, Luka Mangveep;Hadjia, Idris Suleiman;Nsubuga, Peter
简介：结核病（TB）是尼日利亚的一个公共卫生问题。坚持治疗的总时间是治愈患者的关键。我们探讨了知识的卫生保健工作者对结核病患者的管理，包括他们认为的原因，病人不坚持治疗，制定战略，以提高结核病控制服务的质量，在state.METHODS：我们进行了一项横断面研究。方法采用自填式问卷调查方法，了解医务人员对结核病防治知识的掌握情况、对结核病防治知识的掌握情况、对病人的宣教情况，包括对病人的预防教育情况。我们与医护人员进行焦点小组讨论。结果：76名调查对象中女性41人（53.9%），社区卫生服务推广人员占39.9%，护士/助产士占26.3%，未接受结核病管理培训的占30.3%。只有43.4%的人知道在强化治疗阶段对漏服药物的患者何时采取行动，30.3%和35.5%的人分别知道在继续治疗阶段第1类和第2类药物的默认情况。他们确定了药物的副作用（80%），每日门诊出勤率（76.3%），医务人员态度（73.4%）和缺乏治疗持续时间的知识（71.1%），其中对患者的不友好态度是影响患者坚持治疗的主要障碍。医务人员对结核病患者管理知识的缺乏以及与患者的人际关系和沟通不良对患者长期坚持结核病治疗有负面影响。
INTRODUCTION: Tuberculosis (TB) is a public health problem in Nigeria. Adherence to the total duration of treatment is critical to cure the patients. We explored the knowledge of the health care workers on management of TB patients including their perceived reasons for patient non adherence to treatment to develop strategies to improve the quality of the TB control service in the state.METHODS: We conducted a cross sectional study. We used self administered questionnaire to extract information from the health workers on their trainings for TB control, knowledge of the control services, patients' education including prevention of defaulting from treatment. We conducted focus group discussion with the health care workers. We performed descriptive analysis using epiInfo software.RESULTS: Of the 76 respondents 41 (53.9%) were female, 39.9% were community health extension workers, 26.3% were nurses/midwifes 30.3% lacked training on management of TB patient. Only 43.4% knew when to take action on patients who miss their drugs in the intensive phase, 30.3% and 35.5% knew defaults among category 1 and category 2 in the continuation phases of treatment respectively. They identified side effects of drugs (80%), daily clinic attendance (76.3%), health workers attitude (73.4%) and lack of knowledge on duration of treatment (71.1%) including their unfriendly attitudes towards the patients as the major barriers to patients' adherence to treatment.CONCLUSION: Lack of knowledge of the health care workers on management of TB patients and poor interpersonal relation and communication with patients have negative effect on patients' adherence to the long duration of TB treatment.