关键词: Tuberculosis adherence monitoring culture faith hair harvest hair testing

Mesh : Humans Female Adult Male Qualitative Research Antitubercular Agents / therapeutic use Drug Monitoring / methods Tuberculosis, Pulmonary / drug therapy psychology Hair / chemistry Middle Aged Medication Adherence / psychology Patient Acceptance of Health Care / psychology

来  源:   DOI:10.4314/ahs.v23i4.4   PDF(Pubmed)

Abstract:
UNASSIGNED: The current six months regimen for drug-susceptible tuberculosis (TB) is long, complex, and requires adherence monitoring. TB hair drug level assay is one innovative approach to monitor TB treatment adherence however, its acceptability in the context of African multi-cultural settings is not known.
UNASSIGNED: To determine the acceptability of hair harvest and testing as a TB therapeutic drug monitoring method.
UNASSIGNED: The study explored perceptions, and lived experiences among TB patients with regard to using hair harvest and testing as a method of tuberculosis therapeutic drug monitoring in the context of their cultural beliefs, and faith. We used a descriptive phenomenological approach.
UNASSIGNED: Four main themes emerged namely: participants\' perceptions about the cultural meaning of their body parts; perceptions about hair having any medical value or meaning; perceptions about hospitals starting to use hair harvest and testing for routine hospital TB treatment adherence monitoring; and perceived advantages and disadvantages of using hair for treatment adherence monitoring. Overall, we found that using hair to monitor adherence was acceptable to TB patients provided the hair was harvested and tested by a medical worker.
UNASSIGNED: Hair harvest for medical testing is acceptable to TB patients on the condition that it is conducted by a medical worker.
摘要:
目前治疗药物敏感型结核病(TB)的6个月疗程很长,复杂,并且需要遵守监测。结核病头发药物水平测定是监测结核病治疗依从性的一种创新方法,它在非洲多元文化背景下的可接受性尚不清楚。
确定头发收获和测试作为结核病治疗药物监测方法的可接受性。
这项研究探索了感知,以及结核病患者在其文化信仰背景下使用毛发采集和测试作为结核病治疗药物监测方法的生活经验,和信仰。我们使用了描述性现象学方法。
出现了四个主要主题,即:参与者对其身体部位的文化意义的看法;对头发具有任何医疗价值或意义的看法;对医院开始使用头发采集和测试进行常规医院结核病治疗依从性监测的看法;以及使用头发进行治疗依从性监测的优缺点。总的来说,我们发现,结核病患者可以使用头发来监测依从性,前提是头发是由医务工作者采集和检测的.
结核病患者可以接受用于医学测试的毛发采集,条件是由医务人员进行。
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