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A study of relationships among tuberculosis knowledge, family support, and medication adherence in tuberculosis patients

결핵환자의 결핵관련 지식, 가족지지 및 약물복용이행과의 관계

  • Received : 2021.10.29
  • Accepted : 2022.01.23
  • Published : 2022.02.28

Abstract

Purpose: This study was conducted to investigate the effect of tuberculosis-related knowledge and family support on medication adherence in tuberculosis patients. Methods: The data were collected from 175 patients diagnosed with tuberculosis at three general hospitals located in two provincial cities in South Korea from September 1 to November 31, 2020. The 160 questionnaires were analyzed using IBM SPSS WIN 25.0. Results: The patients' average score for tuberculosis-related knowledge was 15.85±5.87 (out of 25), for family support it was 22.03±9.20 (out of 35), and for medication adherence it was 5.11±2.68 (out of 8). There were significant differences in tuberculosis-related knowledge, family support, and medication adherence according to patients' general characteristics and significant positive relationships among tuberculosis-related knowledge, family support, and medication adherence. Factors affecting patients' tuberculosis medication adherence were history of stopping the medication, the importance of treatment among tuberculosis-related knowledge and family support, and these factors could explain 78% of patients' taking tuberculosis drugs. Conclusion: It could be concluded that the importance of tuberculosis treatment and family support are very important for improving patients' rates of medication adherence. Therefore, medical staffs caring for tuberculosis patients need to manage patients' medication of tuberculosis drugs with continuous consultation.

Keywords

References

  1. Korea Centers for Disease Control and Prevention. TB ZERO [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2021 [cited 2021 July 9]. Available from: http://www.kdca.go.kr
  2. World Health Organization. Global tuberculosis report. Geneva: United Nations; 2020. Report No.: 9789240013131
  3. Korean National Tuberculosis Association. TB information [Internet]. Seoul: Korean National Tuberculosis Association; 2021 [cited 2021 July 9]. Available from: https://www.knta.or.kr
  4. Park JS. Korean guidelines for the treatment of tuberculosis. Korean Journal of Medicine. 2012;82(3):269-273. https://doi.org/10.3904/kjm.2012.82.3.269
  5. Cramer JA, Roy A, Burrell A, Fairchild CJ, Fuldeore MJ, Ollendorf DA, et al. Medication compliance and persistence: Terminology and definitions. Value in Health. 2008;11(1):44-47. https://doi.org/10.1111/j.1524-4733.2007.00213.x
  6. Owen RR, Fischer EP, Booth BM, Cuffel BJ. Medication noncompliance and substance abuse among patient with schizophrenia. Psychiatric Series. 1996;47(8):853-858. https://doi.org/10.1176/ps.47.8.853
  7. Park HJ, Sin YH. Factors related self-care behavior among liver cirrhosis patients: Focusing on disease knowledge and family support. Journal of the Korea Academia Industrial cooperation Society. 2017;18(5):647-656. https://doi.org/10.5762/KAIS.2017.18.5.647
  8. Lee BK, Lee YJ. The impact of television public campaign for preventing tuberculosis: An application of propensity score matching. Korean Journal of Journalism & Communication Studies. 2014;58(4):157-182.
  9. Kim YM, Yoo KH. A correlational study on the knowledge, stress and self-care performance among tuberculosis patients. Journal of Korean Academic Society of Nursing Education. 2019;25(3):366-377. https://doi.org/10.5977/jkasne.2019.25.3.366
  10. Jeong EY, Hwang SK. Factors related to medication adherence in adult patients with tuberculosis. Korean Journal of Adult Nursing. 2018;30(5):493-503. https://doi.org/10.7475/kjan.2018.30.5.493
  11. Park EW. Family relationships within diabetic patients' experiences for successful diabetes management. Family and Family Therapy. 2016;24(3):297-314. https://doi.org/10.21479/kaft.2016.24.3.297
  12. Jeong HJ, Bae JH. The influence of health literacy and social-support on medication adherence in eldery with chronic disease. Journal of Digital Convergence. 2018;16(7):419-428. https://doi.org/10.14400/JDC.2018.16.7.419
  13. Cha MS. The knowledge, attitude and prevention about tuberculosis for the high school students [master's thesis]. Daegu: Keimyung University; 2012. p. 1-48.
  14. Tae YS. Study on the correlation between perceived social support and depression of the cancer patients [master's thesis]. Seoul: Ewha Womans University; 1985. p. 1-67
  15. Kim HS, Ha CK. A study on family support, depression, and quality of life among patients with tuberculosis in a hospital: Focusing on mediating effect of depression. Journal of family relations. 2010;14(4):157-182.
  16. Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension. 2008;10(5):348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
  17. Min SH, Kim JI. Construction of explanatory model for medication adherence in older people with chronic disease. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(4):463-473. https://doi.org/10.7739/jkafn.2012.19.4.463
  18. Son EJ, Jeon DS. Current situation of tuberculosis and national strategic plan for tuberculosis control in Korea. Journal of Korean Medical Association. 2021;64(4):316-323. https://doi.org/10.5124/jkma.2021.64.4.316
  19. The Slow Aging Research Center. Social issues affecting seniors [Internet]. New York: The Slow Aging Research Center; 2021 [cited 2021 July 9]. Available from: https://slowlyaging.com/social-issues-affecting-seniors
  20. Kim JS, Lee HW, In HK, Sim EH. Characteristics of the notified tuberculosis: Republic of Korea 2020. Korea Disease Control and Prevention Agency. 2020;14(14):784-799. http://kdca.go.kr/board/board.es?mid=a20602010000&bid=0034&list_no=710984&act=view
  21. Moon CW. Treatment of tuberculosis. Journal of Korean Society of Health-System Phamacists. 2019;36(2):272-281. https://www.kshp.or.kr/mobile/board/bulletin_viw.asp?nbidx=2798
  22. Na Y. How to improve medication adherence diabetes patients. Journal of Korean Diabetes. 2017;18(4):259-263. https://doi.org/10.4093/jkd.2017.18.4.259
  23. Chang SH, Cataldo JK. A systematic review of global cultural variations in knowledge, attitudes and health responses to tuberculosis stigma. The International Journal of Tuberculosis and Lung Disease. 2014;18(2):168-173. https://doi.org/10.5588/ijtld.13.0181
  24. Jang EJ. The effects of self-efficacy and family support of pulmonary tuberculosis patients on medication adherence [master's thesis]. Kimhae: Kaya University; 2017. p. 1-60.
  25. Son YJ, Song EK. Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(1):6-15. https://doi.org/10.7739/jkafn.2012.19.1.006
  26. Fitch K, Iwasaki K, Pyenson B, Plauschinat C, Zhang J. Variation in adherence with global initiative for chronic obstructive lung disease (gold) drug therapy guidelines: A retrospective actuarial claims data analysis. Current Medical Research and Opinion. 2011;27(7):1425-1429. https://doi.org/10.1185/03007995.2011.583230
  27. Kim HN, Kim EH. Predictors influencing of medication adherence in hemodialysis patients. Journal of Korean Academic Society of Adult Nursing. 2019;31(3):283-292. https://doi.org/10.7475/kjan.2019.31.3.283
  28. Foulon V, Schoffski P, Wolter P. Patient adherence to oral anti-cancer drugs: An emerging issue in modern oncology. Acta Clinica Belgica. 2012;66(2):85-96. https://doi.org/10.2143/ACB.66.2.2062525
  29. Kim HJ, Kim GH. Effects of image-use medication education on knowledge, self-efficacy, and misuse of medication in elderly inpatients. Journal of Korean Clinical Nursing Research. 2018;24(1):56-66. https://doi.org/10.22650/JKCNR.2018.24.1.56
  30. Jang SJ. Special considerations in diabetes self-management education for older adults with diabetes: A study focusing on community senior welfare centers. Journal of Korean Diabetes. 2020;21(4):211-215. https://doi.org/10.4093/jkd.2020.21.4.211