Göðüs Hastanesi Dergisi. 2004; 18(3): 119-122

TÜBERKÜLOZ TEDAVÝSÝNE UYUMSUZLUK NEDENLERÝNE YÖNELÝK BÝR ANKET ÇALIÞMASI

Ahmet Emin ERBAYCU¹, Nimet AKSEL¹, Aydan ÇAKAN¹
Dr. Suat Seren Göðüs Hastalýklarý ve Cerrahisi Eðitim ve Araþtýrma Hastanesi, Ýzmir

Tüberküloz (TB) t edavisini düzenli olarak sürdürmek ve tamamlamak TB'un kontrolünde en önemli görevlerden birisidir. Bu çalýþmada, TB tedavisine uyumsuzluk nedenlerinin hastalarýn bakýþ açýsý ile deðerlendirilmesi amaçlanmýþtýr. Tedavileri bir Verem Savaþ Dispanseri tarafýndan baþlatýldýðý ve takibe alýndýðý halde takip ve tedavisini aksatan 100 hastaya bu durumun nedenleri bir anket formu ile soruldu. Anketi cevaplayan 100 hastanýn 83 (%83)'ü erkek ve 17 (%17)'si kadýn idi. Takip ve tedaviyi aksatma nedeni olarak; hastalarýn %47'si "yakýnmalarýnýn geçmesi ve kendilerini iyi hissetmelerini", %43'ü ailevi / sosyal sorunlarýný, %26'sý maddi olanaksýzlýklarý", %26'sý hastalýk ve tedavisi hakkýnda yeterince bilgi verilmemesini", %22'si "iþleri nedeniyle vakit bulamamasýný", %10'u "yeterince ilaç verilmemesini", %9'u "adresinin deðiþmesini" ve %23'ü "depresyon, düzensiz yaþam ve alkolizm gibi diðer nedenleri" vurgulamýþlardýr. Bu anket çalýþmasýnda; tedavi ile yakýnmalarýn azalmasý / kaybolmasý, hastalarýn kendini iyi hissetmeye baþlamalarý ve mevcut ailevi / sosyal sorunlar, uyumsuzluðun en sýk sebepleri olarak belirlendi. Hastalarýn tedavileri ile ilgili yeterince bilgilendirilmeleri ve eðitilmeleri, sosyal sorunlarý ile ilgilenilmesi ve psikolojik destek almalarýnýn tedaviye uyumu artýracak önlemler olduðu görüldü.

Anahtar Kelimeler: Akciðer tüberkülozu, tüberküloz tedavisi, tedavi uyumsuzluðu

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A QUESTIONNAIRE STUDY TOWARDS CAUSES OF NONCOMPLIANCE FOR TUBERCULOSIS THERAPY

Ahmet Emin ERBAYCU¹, Nimet AKSEL¹, Aydan ÇAKAN¹
Dr. Suat Seren Göðüs Hastalýklarý ve Cerrahisi Eðitim ve Araþtýrma Hastanesi, Ýzmir

The regular maintenance and completion of tuberculosis (TB) treatment is one of the most important acts in TB control. In the study; it was aimed to have causes of noncompliance to TB treatment been evaluated with patients' point of view. The causes were asked in questionnaire to 100 patients those are noncompliant to follow and treatment, though Tuberculosis Dispensary initiated and planned the treatment. Of 100 patients those answered the questionnaire, 83 (83%) was man and 17 (17%) was woman. As the cause of noncompliance; 47% said "that their complaints had lost and felt better", 43% said" they had private / social problems", 26% said "they had not afforded to go to dispensary", 26% said "they had not been told enough about disease and treatment", 22% said "that they could not spend time because of their works", 10% said "that the drug given was not enough", 9% said "that the address was changed" and 23% said "that they had depression, alcoholism, bad living conditions". In this questionnaire; as the mostly seen causes of the noncompliance to TB treatment, recovering and disappearing of the complaints, patients' better feeling and the presence of private and social problems was marked. The preventive measures those will increase the compliance are to have the patients been informed and educated of the treatment, to act for their social problems and to maintain psychological support.

Keywords: Pulmonary tuberculosis, treatment of tuberculosis, noncompliance to treatment

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ATIF KOPYALA