Health Related Quality of Life among TB Patients: Question Mark on Performance of TB DOTS in Pakistan

Malik, Madeeha; Nasir, Rida; Hussain, Azhar

doi:10.1155/2018/2538532

Cited by 35 publications

(47 citation statements)

References 14 publications

(16 reference statements)

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“…Demographic characteristics were similar to the reports of other studies, where male predominance [60%] was observed, and 75% were employed under various jobs [10,11]. Studies conducted by Madeeha Malik et al, [12] and Cheng-Ting Li et al, [11] have similarities with our study such that more patients have high literacy level [61.25%]. Studies by Atif et al, [8] Madeeha Malik et al, [12] and Stevens M.B.…”

Section: Discussionsupporting

confidence: 88%

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

Varghese¹,

Poulose²,

G³

et al. 2020

ijrls

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Tuberculosis (TB) is potentially airborne severe infectious disease which requires long term treatment. It considerably affects the physical and mental health quality of the patient’s life. Appropriate patient counselling with the help of Patient Information Leaflet will help to improve the patient’s quality of life and overall treatment outcome. To enhance the health related quality of life in pulmonary tuberculosis patients by providing patient counselling with the aid of patient information leaflet. An interventional study was carried out for six months in 80 patients diagnosed with pulmonary tuberculosis from the OP & IP of Tuberculosis and Chest Department of a medical college hospital. The HRQoL was assessed using the SF-36 questionnaire. Appropriate patient counselling was provided with the help of Patient Information Leaflet. In our study, a total of 80 patients were enrolled, out of which 49[61%] were Out-patients, and 31[39%] were In-patients. All the 8 sub domains of the SF-36 survey show statistical significance with improvement in 2nd Visit (after counselling) when compared with the baseline visit. The demographic variables like smoking, low socioeconomic status, allergies, family history show statistically significant association with overall HRQoL. The HRQOL of the pulmonary tuberculosis patients were initially low before the start of Anti-TB therapy, after providing proper patient counselling using patient information leaflet the HRQoL scores were found to be increased on the subsequent re-visits, which implies the need of proper patient counselling and follow-up in PTB for the better quality of life.

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Section: Discussionsupporting

confidence: 88%

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

Varghese¹,

Poulose²,

G³

et al. 2020

ijrls

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“…As a disease, TB affects an individual physically, psychologically, emotionally, socially, and financially. Physically and physiologically, patients with TB suffer from a myriad of debilitating effects including impaired physical well‐being (Roba et al, ) and poor quality of life (Malik, Nasir, & Hussain, ). Psychologically and emotionally, patients with TB are stigmatized and discriminated for their disease (Duko, Bedaso, Ayano, & Yohannis, ) because of the unfounded beliefs and perceptions about TB.…”

Section: Introductionmentioning

confidence: 99%

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

Baniqued

Ballecer

Ballesteros

et al. 2020

Public Health Nursing

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Objective:To determine the influence of community health nurses' social support on non-adherence with the maintenance phase of directly observed therapy (DOTS) among patients with tuberculosis (TB).Design: Prospective-cohort. Sample:One hundred purposively selected patients with TB starting with DOTS maintenance phase. Measurements:Participants answered the robotfoto and Berlin Social Support Scale (BSSS) to assess demographics and social support provided by nurses. Non-adherence was measured using the attendance record and documented in an abstraction form.Cox proportion-hazards regression determined the influence of social support provided by nurses to non-adherence. Results:With a median adherence of 3 weeks, 15% of the sample was non-adherent. The hazard of non-adherence was lower with high perceived emotional support (HR = 0.25, p = .046), perceived instrumental support (HR = 0.20, p = .044), perceived support seeking (HR = 0.27, p = .045), and received emotional support (HR = 0.45, p = .045).High received emotional support increased non-adherence (HR = 2.65, p = .039). Conclusion: Social support from nurses influenced DOTS non-adherence among patients with TB, a critical issue in the development of drug-resistance. Perceived emotional, instrumental, support seeking and received emotional support decreased the hazard of non-adherence, while received emotional support increased non-adherence. This study highlights the need to promote positive perception of instrumental support needs. Appropriate interventions should be provided to promote supportseeking skills. K E Y W O R D S community health nurses, DOTS program, perceived social support, Philippines, received social support 2 | ME THODS | Research design, subjects, and settingThis study employed a prospective-cohort design and recruited participants who were at least 18 years old, category I (newly diagnosed, smear-positive) pulmonary TB patients, about to start the maintenance phase of the DOTS program.A total of 100 purposively selected participants were included which yielded a power of 99.97% at a significance of 5% (two-tailed).This study was conducted in selected health centers from the cities of Manila, Quezon, and Marikina, Philippines. These health centers are accredited DOTS Satellite Treatment Centers of the Philippine Department of Health and provide a variety services for patients with TB. | Data measuresParticipants completed a two-part survey composed of the robotfoto and the BSSS. The robotfoto, a Dutch term denoting one's

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“…Age of PTB patients was significantly associated with HRQoL as reported by nine studies (Suzuki et al, 2019;Dhelaimi et al, 2018;Malik et al, 2018;Hilka et al, 2017;Ting-Li et al, 2017;Kisaka et al, 2016;Atif et al, 2014;Aggarwal et al, 2013;Chamla, 2004). A lower scores in elderly patients might be associated with their old age and the expected decline in physical health with increasing age (Atif et al, 2014).…”

Section: Ijphcsmentioning

confidence: 76%

“…Female patients were associated with poor HRQoL as compared with male patients (Saleem et al, 2018;Kibrisli et al, 2015;Kakhki et al, 2015;Aggarwal et al, 2013). This might be due to the fact that women are more sensitive to changes in their health and have low levels of physical strength (Malik et al, 2018).…”

Section: Ijphcsmentioning

confidence: 99%

See 1 more Smart Citation

SYSTEMATIC REVIEW OF DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE (HRQoL) AFFECTING WELL-BEING OF PULMONARY TUBERCULOSIS (PTB) PATIENTS

Juni

Syafiq²

2019

IJPHCS

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Background: Pulmonary Tuberculosis (PTB) is an infectious disease and still a global public health issue. PTB affects not only the patients' physical health, but also on their mental and social wellbeing. The health program in TB management routinely focuses on bacteriological markers of response and on outcomes such as cure, mortality and treatment failure. However, there are various aspects that may lead to a poor HRQoL. Thus, an evaluation of Healthrelated Quality of Life (HRQoL) and its determinants has become an important health outcome and an area of concern for policy makers, health care professionals and researchers. The objective of this systematic review is to determine how PTB affects patients' HRQoL and to identify the determinants of affected HRQoL. Materials and Methods: Systematic review of the published literature was conducted. Original studies providing information on PTB affecting the HRQoL were identified. The search terms used were "Health-related Quality of Life", "Determinants", "Pulmonary Tuberculosis" and "Patients". The articles selected were rated using items extracted from the STROBE Statement checklist. Result: After screening, 21 articles were used for the systematic review; findings were discussed in terms of the study design, participants, results, remarks and the quality of the article (Table 1). Conclusion: Pulmonary Tuberculosis (PTB) does impair the Health-related Quality of Life (HRQoL) among the patients; namely the physical, mental and social components.

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Health Related Quality of Life among TB Patients: Question Mark on Performance of TB DOTS in Pakistan

Cited by 35 publications

References 14 publications

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

The role of clinical pharmacist in enhancing the health-related quality of life in patients with pulmonary tuberculosis

Social support from nurses and non‐adherence with directly observed therapy (DOTS) maintenance phase among patients with tuberculosis in Metro Manila, Philippines

SYSTEMATIC REVIEW OF DETERMINANTS OF HEALTH-RELATED QUALITY OF LIFE (HRQoL) AFFECTING WELL-BEING OF PULMONARY TUBERCULOSIS (PTB) PATIENTS

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