Suthida Sangedee
Effects of A Symptom Management Promotion Program Combined with Social Support on Knowledge, Symptom Management, Medication Adherence, and Treatment Outcomes for Newly Diagnosed Pulmonary Tuberculosis Patients
Keywords:
A symptom management promotion program, Social support, Medication adherence, Pulmonary tuberculosisAbstract
Quasi-experimental research with pretest-posttest design aimed to study effects of a symptom management promotion program combined with social support on medication adherence, and treatment outcomes for newly diagnosed pulmonary tuberculosis patients. Samples of this study were thirty newly diagnosed pulmonary tuberculosis patients admitted to the cohort ward at Maha Sarakham Hospital. The sample for this study was selected using the purposive sampling technique. The instruments used in this study were a symptom management promotion program combined with social support, general information records, knowledge and symptom management measurement, symptom records, medication adherence measurement, follow up records, and sputum culture result records. Data analysis used in this study were descriptive statistics, and the t-test. The results found that knowledge and symptom management scores of participants after utilizing program were statistically higher than pretest score (t = -8.5, p < .05). Every participant experienced at least one adverse effect after taking medication; nevertheless, every side effect was completely treated and recovered (100%). All participants had regularly adhered their medications as prescribed (100%). All participants had followed up with the doctor two weeks after hospital discharge (100%), and 80% of participants had negative sputum culture results. The findings indicate that a symptom management promotion program combined with social support can assist patients in self-managing side effects and enhance treatment outcomes.
References
Bagcchi, S. (2023). WHO's global tuberculosis report 2022. The Lancet Microbe, 4(1), Article e20. DOI: 10.1016/S2666-5247(22)00359-7
Chakaya, J., Khan, M., Ntoumi, F., Aklillu, E., Fatima, R., Mwaba, P., … Katoto, P. D. (2021). Global Tuberculosis report 2020–Reflections on the Global TB burden, treatment and prevention efforts. International Journal of infectious Diseases, 113, S7-S12.
DOI: 10.1016/j.ijid.2021.02.107
Cohort Ward. (2022). Report summarizing focus groups with new tuberculosis patients. Mahasarakham Hospital. (in Thai).
Division of Tuberculosis, Department of Disease Control. (2021). Guidelines for tuberculosis control in Thailand 2021. Department of Disease Control, Ministry of Public Health. (in Thai).
Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., … Rankin, S. (2001). Advancing the science of symptom management. Journal of advanced Nursing, 33(5), 668 -676. DOI: 10.1046/j.1365-2648.2001.01697.x
Gebremariam, R. B., Wolde, M., & Beyene, A. (2021). Determinants of adherence to anti-TB treatment and associated factors among adult TB patients in Gondar city administration, Northwest, Ethiopia: Based on health belief model perspective. Journal of Health, 40(1), 1 - 10. DOI: 10.1186/s41043-021-00275-6
House, J.S., Umberson, D., & Landis, K.R. (1988). Structures and processes of social support. Annual review of sociology, 14(1), 293-318. DOI: 10.1146/annurev.so.14.080188.001453
Khakhong, S., Lirtmunlikaporn, S., Unahalekhaka, A., & Wichaikhum, O. (2023). Effects of the family empowerment program on medication adherence and treatment success among adults with pulmonary tuberculosis: A randomized controlled trial. Pacific Rim International Journal of Nursing Research, 27(4), 654 - 670. DOI: 10.60099/prijnr.2023.262115
Mahasarakham Hospital. (2022). Report on statistics and indicators of quality of care for pulmonary tuberculosis patients. Mahasarakham Hospital.
Nezenega, Z. S., Perimal-Lewis, L., & Maeder, A. J. (2020). Factors influencing patient adherence to tuberculosis treatment in Ethiopia: A literature review. International Journal of Environmental Research and Public Health, 17(15), Article 5626. DOI: 10.3390/ijerph17155626
Promnimit, A., Pakdevong, N., & Binhosen, V. (2022). Feasibility study of symptoms management application for colorectal cancer patient undergoing chemotherapy . The Journal of Faculty of Nursing Burapha University, 30(2), 40-52.
Rahajeng, B., Shafira, N., & Utami, P. (2021). Effects of Anti tuberculosis side effect on the quality of life of tuberculosis patients in RSKP Respira Yogyakarta at the Period of January-June 2019. Proceedings of the 4th International Conference on Sustainable Innovation 2020–Health Science and Nursing (ICoSIHSN 2020).
Saengthong, S., Siriwatanamethanon, J., & Buatee, S. (2013). Effects of symptom management programe on symptom perception and anti-tuberculosis medication adherence in patients with pulmonary tuberculosis. Journal of Science and Technology Mahasarakham University, 9, 420-421.
Sineke, T., Evans, D., Schnippel, K., Aswegen, H.V., Berhanu, R., Musakwa, N., … Rosen, S. (2019). The impact of adverse events on health-related quality of life among patients receiving treatment for drug-resistant tuberculosis in Johannesburg, South Africa. Health and Quality of life Outcomes, 17(1), 1-15. DOI: 10.1186/s12955-019-1155-4
Suwannakeeree, W., Picheansathian, W., Lertwatthanawilat, W., & Unahalekhaka, A. (2015). A medication adherence enhancement program for persons with pulmonary tuberculosis: A randomized controlled trial study. Pacific Rim International Journal of Nursing Research, 19(4), 311 - 329.
Yang, T. W., Park, H. O., Jang, H. N., Yang, J. H., Kim, S. H., Moon, S. H., ... Kang, D. H. (2017). Side effects associated with the treatment of multidrug-resistant tuberculosis at a tuberculosis referral hospital in South Korea: A retrospective study. Medicine, 96(28), Article e7482. DOOI: 10.1097/MD.0000000000007482
Zegeye, A., Dessie, G., Wagnew, F., Gebrie, A., Islam, S. M., Tesfaye, B., & Kiross, D. (2019). Prevalence and determinants of anti-tuberculosis treatment non-adherence in Ethiopia: A systematic review and meta-analysis. PLoS One, 14(1), Article e0210422. DOI: 10.1371/journal.pone.0210422
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