在未开发地区Tumkur市,直接督导下的短程化疗提供者在结核病患者治疗依从性方面的绩效评估、作用和面临的挑战研究

Savitha Rani B.B, Vidhya G S, Vinay K S, Mounika Vanya, Gopinath S
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摘要

在修订后的国家结核病控制规划(RNTCP)中,Anganwadi工人、Asha工人和社区志愿者等非政府人员被用作直接观察治疗(DOT)提供者,他们面临的挑战没有得到解决,这对提高他们的绩效很重要。采用半结构化提问者进行的横断面研究,其中包含DOTS提供者的社会人口学特征和评估DOTS提供者表现的问题,他在治疗依从性中的作用以及他/她面临的挑战。DOTS提供者通过从DTC获得的信息进行追踪。数据将在SPPSS 16.0版本中输入和分析。大约99%的DOTS提供者接受过有关结核病和DOTS的培训。约70%的人认为失败的原因是治疗不彻底,15%的人认为失败的原因是治疗不彻底和预防措施失败。98%的医生在病人没有来接受短程化疗时进行追踪。91.1%的人家庭中没有结核病史,7.9%的人家庭中有结核病史。53.5%的DOTS提供者处理了药物反应。其中38.6%治愈,痰液阴性。其中94.1%的人没有违约者,4%的人有一个违约者。约11.9%的患者复发一次。约93.1%的人没有失败,5%的人有一次失败,1%的人有两次失败。约95%的医生将咨询作为激励患者的辅助手段。教育和提高对疾病及其预防的认识在减轻疾病负担、解决dots提供者的障碍和困难方面发挥着重要作用,帮助他们向患者提供更好的服务和护理。
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A study on performance evaluation, roles and challenges faced by the DOTS providers in treatment adherence of TB patients in Tumkur city an untouched area
Non-governmental personnel such as Anganwadi workers, Asha workers and community volunteers have been used as directly observed treatment (DOT) providers in the revised National Tuberculosis Control Programme (RNTCP), challenges faced by them were not addressed, which is important to improve their performance.A cross-sectional study conducted using semi structured questioner which contains Socio-demographic characteristics of the DOTS provider and the questions to evaluate the performance of DOTS provider, his role in treatment adherence and also the challenges faced by him/her. DOTS providers are traced by information obtained from DTC. Data will be entered and analysed in SPPSS version 16.0About 99% of DOTS providers have received training regarding TB and DOTS. About 70% believed that the reason of failure was due to incomplete treatment and 15% believed that the failure was due to incomplete treatment and failure of preventive measures. 98% of them trace the patients when they don’t come to take DOTS. About 91.1% of them had no history of TB in their families and 7.9% of them had a history of TB in their family. About 53.5% of DOTS provider handled the drug reaction. About 38.6% of them were cured and declared sputum negative. About 94.1% of them had no defaulters and 4% of them had one defaulter under them. About 11.9% of them had one relapse. About 93.1% of them had no failures, 5% of them had one failure and 1% of them had 2 failures. About 95% of them used counseling as an aid to motivate patients. Educating and creating awareness regarding disease and its prevention plays a major role in reducing the burden if disease, addressing the barriers and difficulties of dots provider helps them to give better service and care to patients.
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