Mustafa Jiba, Fereshteh Zamani-Alavijeh, Marzieh Araban, Arash Salahshouri, Tayebeh Marashi. Exploring Behavioral Factors Facilitating Treatment of Tuberculosis: A Qualitative Study. J Health Syst Res 2016; 12 (3) :369-374
URL:
http://hsr.mui.ac.ir/article-1-869-en.html
1- MSc Student, Infectious and Tropical Diseases Research Center AND Department of Public Health, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Associate Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3- Social Determinants of Health Research Center AND Department of Health Education and Promotion, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4- PhD Candidate, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
5- Assistant Professor, Infectious and Tropical Diseases Research Center AND Department of Public Health, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Corresponding Author: Tayebeh Marashi, Email: marashi-t@ajums.ac.ir
Abstract: (1026 Views)
Background: Smear positive pulmonary tuberculosis (TB) patients are the main source of TB infection in the population and could be the cause of drug-resistant TB transmission. Therapeutic interventions without attention to causes of behaviors associated with treatment will not be successful. This study aimed to explore behavioral factors influencing the treatment of tuberculosis patients.Methods: This study was a qualitative research. The subjects were selected using purposive sampling with maximum variance. Data were obtained through unstructured in-depth interviews with 37 individuals (21 men and 16 women), and using patients’ medical records and information recorded in the Tuberculosis Register Program and TB patients registration office in provincial health centers. Interviews continued for a period of 13 months until data saturation was achieved. All interviews were recorded and transcribed verbatim. Data were analyzed, simultaneous to data collection, using constant comparison.Findings: The behavioral factors facilitating treatment were classified into 6 categories of drug and tobacco use cessation during treatment, methadone therapy during treatment, lack of travelling during treatment, lack of exhaustion and being serious in the correct use of medicines until the end of the treatment period, hope of improvement and health as a factor for treatment adherence, and normalization of medications use for patients.Conclusion: The results showed that behavioral factors affect the treatment of patients with TB. Therefore, appropriate educational interventions with the aim of influencing treatment should be planned and implemented to strengthen facilitating behavioral factors.
Type of Study:
Research |
Subject:
education health and promotion Received: 2020/07/16 | Accepted: 2016/10/15 | Published: 2016/10/15