LIFE EXPERIENCES OF PULMONARY TUBERCULOSIS PATIENTS AFFECTED BY DELAYS IN TREATMENT, IN THAILAND

Authors

  • Kampanart Chaychoowong Sirindhorn College of Public Health Chonburi, Chonburi Province, Thailand

DOI:

https://doi.org/10.20319/lijhls.2019.53.6377

Keywords:

Delays in Treatment, Life Experiences, Pulmonary Tuberculosis

Abstract

A qualitative research aimed to describe life experiences of pulmonary tuberculosis (TB) patients affected by delays in treatment among 25 pulmonary TB patients in Nakhon Ratchasima, Thailand from October to December 2018. The data were collected by in-depth interviews, analyzed by the content analysis, and managed with the NVivo version 12. The findings found there were two major consequences: patient-related and community-related consequences. For the patient-related consequences, patients claimed that they had more severe symptoms before getting treatment. It affected their daily-life including work that led them to stop working or leave their job. The result of having a longer duration of delays in treatment increased the severity of the disease which may result in death. For the community-related consequences, patients had opinions that they could spread TB to other people. However, some patients felt that they could not spread TB germs because the TB screening test results were not found in the infection. These findings can be used for improving the TB controlling strategies by exchanging knowledge and experience of these TB patients which may help to reduce the severity of the disease, mortality rate, and transmission rate in the community.

References

Aldhubhani, A. H., lzham, M. I., Ibrahim, P. & Anaam, M. S. (2013). Effect of delay in diagnosis on the rate of tuberculosis among close contacts of tuberculosis patients. Eastern Mediterranean Health Journal, 19 (10), 837. https://doi.org/10.26719/2013.19.10.837

Aldhubhani, A. H., lzham, M. I., Ibrahim, P., Anaam, M. S. & Alshakka, M. (2017). Effect of delay in tuberculosis diagnosis on pre-diagnosis cost. Journal of Pharmacy Practice and Community Medicine, 3(1), 22-26. https://doi.org/10.5530/jppcm.2017.1.5

Barakh, N. A., Algain, S., Barrak, A. A., Mazrooa, S. A., Alfaleh, S., Alotaibi, F., & N, M. (2016). The assessment of knowledge, attitude and practice of antibiotics usage among Saudi female students in princess Nourah university (PNU). LIFE: International Journal of Health and Life-Sciences, 2(1), 24-40. https://doi.org/10.20319/lijhls.2016.21.2440

Buregyeya, E., Criel, B., Nuwaha, F., & Colebunders, R. (2014). Delays in diagnosis and treatment of pulmonary tuberculosis in Wakiso and Mukono Districts, Uganda. BMC Public Health, 14, 586-595. https://doi.org/10.1186/1471-2458-14-586

Chaychoowong, K. & Suggaravetsiri, P. (2009). Factors associated with patient’s delay among pulmonary tuberculosis patients at tuberculosis clinic of Prachuap Khiri Khan hospital. KKU Journal for Public Health Research, 2 (1), 58-67.

Cheng, S., Chen, W., Yang, Y., Chu, P., Liu, X., Zhao, M., Tan, W., Xu, L., Wu, Q., Guan, H., Liu, J., Liu, H., Chen, R. Y. & Jia, Z. (2013). Effect of diagnostic and treatment delay on the risk of tuberculosis transmission in Shenzhen, China: an observational cohort study, 1993–2010. PLoS ONE, 8(6), e67516. https://doi.org/10.1371/journal.pone.0067516

Denzin, N. (2006). Sociological Methods: A Sourcebook (5th edition). Aldine Transaction, Piscataway.

Department of Disease Control, Ministry of Public Health. (2017). Situation of Tuberculosis in Thailand. Bangkok: Bureau of Tuberculosis.

Dworkin, S. (2012). Sample Size Policy for Qualitative Studies Using In-Depth Interviews. Archives of sexual behavior, 41(6), 1319-1320. https://doi.org/10.1007/s10508-012-0016-6

El-Sony, A., Enarson, D., Khamis, A., Baraka, O. & Bjune, G. (2002). Relation of grading of sputum smears with clinical features of tuberculosis patients in routine practice in Sudan. The International Journal of Tuberculosis and Lung Disease, 6(2), 91-97.

Greenaway, C., Menzies, D., Fanning, A., Grewal, R., Yuan, L., FitzGerald, J.M. et al. (2002). Delay in Diagnosis among Hospitalized Patients with Active Tuberculosis - Predictors and Outcomes. American Journal of Respiratory and Critical Care Medicine, 165, 927-933. https://doi.org/10.1164/ajrccm.165.7.2107040

Hilal, A. H., & Alabri, S. S. (2013). Using NVivo for data analysis in qualitative research. International Interdisciplinary Journal of Education, 2(2), 181-186. https://doi.org/10.12816/0002914

Huong, N. T., Vree, M., Duong, B. D., Khanh, V. T., Loan, V. T., Borgdorff, M. W., & Cobelens, F. G. (2007). Delays in the diagnosis and treatment of tuberculosis patients in vietnam: a cross-sectional study. BMC Public Health, 7, 110-117. https://doi.org/10.1186/1471-2458-7-110

Kitreerawutiwo, N., & Mekrungrongwong, S. (2015). Health behavior and health need assessment among elderly in rural community of Thailand: a sequential explanatory mixed methods study. LIFE: International Journal of Health and Life-Sciences, 1(2), 62-69. https://doi.org/10.20319/lijhls.2015.12.6269

Lienhardt, C., Rowley, J., Manneh, K., Lahai, G., Needham, D., Milligan, P. et al. (2001). Factors affecting time delay to treatment in a tuberculosis control programme in a sub-Saharan African country: the experience of the Gambia. Int J Tuberc Lung Dis, 5(3), 233-239.

Malterud, K., Siersma, V. D. & Guassora, A. D. (2016). Sample size in qualitative interview studies: guided by information power. Qualitative Health Research, 26(13), 1753-1760. https://doi.org/10.1177/1049732315617444

Meintjes, G., Schoeman, H., Morroni, C., Wilson, D. & Maartens, G. (2008). Patient and provider delay in tuberculosis suspects from communities with a high HIV prevalence in South Africa: a cross-sectional study. BMC Public Health, 8, 72. https://doi.org/10.1186/1471-2334-8-72

Ngadaya, E. S., Mfinanga, G. S., Wandwalo, E. R., & Morkve, O. (2009). Delay in tuberculosis case detection in Pwani region, Tanzania. a cross sectional study. BMC Health Services Research, 9, 196-203. https://doi.org/10.1186/1472-6963-9-196

Ponticiello, A., Perna, F., Sturkenboom, M. C., Marchetiello, I., Bocchino, M. & Sanduzzi, A. (2001). Demographic risk factors and lymphocyte populations in patients with tuberculosis and their healthy contacts. The International Journal of Tuberculosis and Lung Disease, 5(12), 1-8.

Saqib, M. A. N., Awan, I. N., Rizvi, S. K., Shahzad, M. I., Mirza, Z. S., Tahseen, S., Khan, I. H., & Khanum, A. (2011). Delay in diagnosis of tuberculosis in rawalpindi, pakistan. BMC Research Notes, 4, 165-169. https://doi.org/10.1186/1756-0500-4-165

Vaidya, S., Muley, S., Kulkarni, M., & Koppikar, G. (2015). To study incidence of multi drug resistant tuberculosis in Mumbai. LIFE: International Journal of Health and Life-Sciences, 1(1), 122-138. https://doi.org/10.20319/lijshls.2015.s11.122138

Virenfeldt, V., Rudolf, F., Camara, C., Furtado, A., Gomes, V., Aaby, P. et al. (2014). Treatment delay affects clinical severity of tuberculosis: a longitudinal cohort study. BMJ Open, 4, e004818. https://doi.org/10.1136/bmjopen-2014-004818

World Health Organization. (2017). Global tuberculosis report 2017. Geneva: WHO.

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Published

2019-12-09

How to Cite

Chaychoowong, K. (2019). LIFE EXPERIENCES OF PULMONARY TUBERCULOSIS PATIENTS AFFECTED BY DELAYS IN TREATMENT, IN THAILAND. LIFE: International Journal of Health and Life-Sciences, 5(3), 63–77. https://doi.org/10.20319/lijhls.2019.53.6377