Factors affecting self-management in Iranian tuberculosis patients: A path analysis model

Abstract

Background: Self-management behaviors can reduce the progression of an illness. Although various factors affect self-management, no study has been conducted on the self-management of tuberculosis (TB) through path analysis.Objectives: This study evaluated the factors affecting self-management in TB patients using path analysis. Methods: A cross-sectional study was done on 133 non-prisoner TB patients that referred to all health centers in Karaj, Iran, in 2017. A structured questionnaire was applied. Data were analyzed with SPSS-17 and Lisrel 8.8, utilizing statistical path analysis to evaluate the relationships between self-management and its related factors. Results: Overall, 52.3% of the participants in the study were female and 47.7% were male. Respondents of were 46.9% smear-positive, 9.4% smear-negative, and 43.8% extra-pulmonary TB. Fit indices confirmed the model fitness and logical relationships between the variables according to the conceptual model (χ 2 = 49.80, df = 25). The final path model showed that age (β = 0.84), attitude (β = 0.10), marital status (β = 0.04), and house condition (β = 0.03) impact self-management through the direct path. Knowledge (β = 0.83) and education (β = 0.16) affect self-management through both direct and indirect paths. Education indirectly affects self-management through both knowledge and attitude. Knowledge indirectly impacts self-management through attitude. In other words, knowledge and attitude mediate the relationship between some factors and self-management. Conclusions: This study provided an empirical model that illustrates the relationships between self-management and related factors in TB patients. The knowledge can be the target of interventions in support of self-management.

Coping efforts made: Psychological burden of people living with tuberculosis due to social stigma in society. A qualitative phenomenology study

“…A finding that should receive serious attention, such as the current findings, is that the psychological burden described by participants captures the perceived inferiority of social interaction processes that rely on intrapersonal interactions compared to interpersonal ones. There is momentum behind using the terminology of physical distance because this approach is done to oneself in the interaction process [ 74 ], and increasing confidence through self-management is a communication exercise with oneself that must be carried out to get a therapeutic effect [ 75 ]. Bearing this in mind, it is very interesting that the participants in this study positioned interpersonal interactions as still inadequate.…”

Influence analysis supportive educational nursing towards knowledge about TB disease in pulmonary TB sufferers

“…In this case, the family's ability to maintain and improve the health of its members is obtained through a learning process from health workers who provide health information to the family. The knowledge that the family already has about pulmonary TB disease, how it is transmitted, prevented, cared for, cured and its complications will give rise to the will or desire (self efficacy) to take health action in the form of healthy living behavior (self care activity) (19,20). Through supportive educational nursing activities which consist of guidance, teaching and support, contact between clients with chronic illnesses and staff is more intensive, every problem faced by clients can be corrected and helped to resolve them, ultimately clients will be willing, based on awareness and full of understanding.…”

Intervensi pada Pasien Tuberkulosis untuk Meningkatkan Kepatuhan dan Manajemen Diri

“…Nilai ini menggambarkan proporsi individu dikomunitas yang berpeluang terinfeksi atau terinfeksi ulang dalam kurun waktu satu tahun. Annual Risk of Tuberculosis merupakan indikator transisi dikomunitas yang bergantung pada prevalensi kasus TB yang infeksius dan efikasi dari aktivitas pengendalian TB seperti penemuan kasus (case finding) dan pengobatan (Harandi et al, 2021).…”