Semsinnur GOCEER, Osman GÜNAY, Rabiye Ozlem ULUTABANCA, Zehra Incedal SONKAYA

Factors affecting psychosocial adjustments to illness of active tuberculosis patients

Tuberculosis is still a major public health problem all over the world. Psychosocial adjustment to illness of tuberculosis patients is important for successful treatment. This study was conducted to determine factors affecting psychosocial adjustment to illness of active tuberculosis patients. This cross-sectional and descriptive study was performed on 48 active tuberculosis cases in Kayseri Province. A sociodemographic questionnaire and Psychosocial Adjustment to Illness Scale–Self-Report (PAIS–SR) were used for data collection. Pearson’s chi square test, Fisher’s exact test, Mann Whitney U test and Kruskal Wallis H test were used for statistical analyses. It was determined that, 56.5% of the patients were female, 69.6% married, 41.3% primary school graduates, and 21.7% current smokers. Mean age was 46.0±16.2 years, and mean duration of disease was 3.6±2.2 months. Mean of total PAIS-SR scores was 62.5±23.6 and psychosocial adjustment for 73.9% of the patients was evaluated as poor. The most negatively affected domains were domestic environment and social environment. Psychosocial adjustment to illness of tuberculosis patients is poor in general and the patients who are female, low educated, housewife and unemployed have higher risk for poor adjustment to illness. Tuberculosis patients should be supported psychosocially to improve their psychosocial adjustments to illness

PDF

___

1. Global tuberculosis report. http://apps.who.int/iris/ bitstream/10665/191102/1/9789241565059_eng.pdf.date 15.02.2017.

2. Caceres Fde M, Orozco LC. Incidence of and factors for non-compliance to antituberculous treatment. Biomedica. 2007;27(4):498-504.

3. Kara B. Tüberküloz kontrolünde başlica sorunlardan biri: tedaviye uyum. TAF Prev Med Bull. 2009;8(1):75-82.

4. Yiğit Açıkel G, Çınar Pakyüz S. Akciğer tüberkülozlu hastalarda damgalamanin değerlendirilmesi. Florence Nightingale Journal of Nursing. 2015;23(2):136-45.

5. Önen R, Kaptanoğlu C, Baysal ZB, Seber G, Tekin D. Akciğer tüberkülozu olan bir grup hastada; kişilik özellikleri, sosyal uyum ve ruhsal belirti dağilimi. Solunum Hastalıkları. 1993;4(1):97-102.

6. Erdem M, Taşcı N. Tüberküloz hastalarinda benlik saygisi düzeylerinin belirlenmesi. Tuberküloz ve Toraks 2003;51(2):171-6.

7. Erer OF. Tüberküloz ve damgalanma: Toplumsal Bakış. Toraks Bülteni. 2014; Haziran:54-57.

8. Bulut Çelik S, Can H, Aras Kılınç E, Önde M, Çelepkolu T, Altuntaş M. Aktif tüberküloz hastalarinda anksiyete. Smyrna Tıp Dergisi. 2012;(1):34-40.

9. Derogatis LR. The Psychosocial Adjustment to Illness Scale (PAIS). Journal of Psychosomatic Research. 1986;30(1):77-91.

10. Adaylar AM. Kronik Hastalığı Olan Bireylerin Hastalıktaki Tutum, Adaptasyon, Algı ve Öz-bakım Yönelimleri. Doktora Tezi, İstanbul Üniversitesi, İstanbul, 1995.

11. Aslan D. Halk sağliği bakiş açisiyla sosyal açidan damgalayici bir hastalık: Tüberküloz. Klinik Gelişim. 2007;20(1):86-9.

12. Özkurt S, Kalkan Oğuzhanoğlu N, Özdel O, Altın R, Balkanlı H, Konya T. Tüberkülozlu olgularin tedaviye ve sosyal yaşama uyumlarinin değerlendirilmesi. Tuberküloz ve Toraks. 2000;48(3):213-8.

13. Gelaw M, Genebo T, Dejene A, Lemma E, Eyob G. Attitude and social consequences of tuberculosis in Addis Ababa, Ethiopia. East Afr Med J. 2001;78(7):382-8.

14. Aslan D, Altıntaş H, Emri S, Cesuroğlu T, Kotan O, Koyuncu S, et al. Selfevaluations of tuberculosis patients about their illnesses at Ankara Atatürk Sanatorium Training and Research Hospital, Turkey. Respiratory Medicine. 2004;98(7):626-31.

15. Mak WW, Mo PK, Cheung RY, Woo J, Cheung FM, Lee D. Comparative stigma of HIV/AIDS, SARS and tuberculosis in Hong Kong. Social Science and Medicine. 2006;63(7):1912-22.

16. Ünalan D, Baştürk M, Ceyhan O. Tüberkülozun yaşam olaylari ile ilişkisi ve hastaliğin anlaşilması. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15(4):249-55.

17. Akın S, Durna Z. Kalp yetersizliği hastalarinin psikososyal uyumu. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2006;10(2):1-8.

18. Çelik S, Kelleci M, Avcı D, Temel E. Tip 1 diyabetli genç yetişkinlerin hastaliğa psikososyal uyumlari ve stresle başa çikma tarzları. Florence Nightingale Hemşirelik Dergisi. 2015;23(2):105-15.

19. Akın A, Demirel S. Toplumsal cinsiyet kavrami ve sağliğa etkisi.Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi 2003;25(4):73-82.

20. Rockwell JM, Riegel B. Predictors of self-care in persons with heart failure. Heart Lung. 2001;30(1):18-25.

21. Ay S. Türkiye’de işsizliğin nedenleri: istihdam politikalari üzerine bir değerlendirme. Yönetim ve Ekonomi. 2012;19(2):321-41.

22. Özşeker F, Akkaya E, Dilek İ, Damadoğlu E. Tüberküloz hastalarinin tedaviye uyumu (hasta kompliyansı). Solunum Hastalıkları 2004;15(2):109-15.

23. Ailinger RL, Moore JB, Nguyen N, Lasus H. Adherence to latent tuberculosis infection therapy among latino immigrants. Public Health Nurs. 2006;23(4):307-13.

24. Cook PP, Maldonado RA, Yarnell CT, Holbert D. Safety and completion rate of short-course therapy for treatment of latent tuberculosis infection. Clin Infect Dis. 2006;43(3):271-5.