چکیده
مقدمه
مطالب و روش
نتایج
بحث
محدودیت و قدرت
نتیجه گیری
منابع
Abstract
Introduction
Materials and method
Results
Discussion
Limitation and strength
Conclusion
References
چکیده
زمینه
سل یک بیماری عفونی مزمن است که می تواند کیفیت زندگی افراد مبتلا به سل را در شرایط محدود تحت تاثیر قرار دهد. تحقیقات کمی در مورد کیفیت زندگی افراد مبتلا به سل در آکرا بزرگ، غنا وجود دارد.
هدف
این مطالعه کیفیت زندگی و عوامل مرتبط با آن را در میان افراد مبتلا به سل در منطقه آکرا بزرگ غنا بررسی کرد.
مواد و روش ها
این پیمایش توصیفی مقطعی با استفاده از ابزار پرسشنامه مختصر کیفیت زندگی سازمان جهانی بهداشت، روابط فیزیکی، روانی، اجتماعی و کیفیت زندگی محیطی 250 فرد مبتلا به سل را در چهار مرکز بهداشت عمومی مورد ارزیابی قرار داد.
نتایج
میانگین نمرات (انحراف معیار) فیزیکی، روانی، روابط اجتماعی و کیفیت زندگی مرتبط با سلامت محیطی پاسخگویان به ترتیب 19/46 (27/21)، 67/50 (95/23)، 9/40 (74/21) و 91/51 (13/20) از 100 عامل اجتماعی جمعیتی بود. که هر چهار حیطه کیفیت زندگی را تحت تأثیر قرار داد، وضعیت تأهل و شغل آنها بود. محل عفونت سل (ریوی یا خارج ریوی) و مرحله درمان پاسخ دهندگان بر حوزه های فیزیکی، روانی و اجتماعی آنها تأثیر گذاشت. از دیگر عوامل تعیین کننده کیفیت زندگی، جنسیت، بالاترین سطح تحصیلات و متوسط درآمد ماهانه آنها بود.
نتیجه گیری
کیفیت زندگی افراد مبتلا به سل ضعیف است و تحت تأثیر وضعیت اجتماعی و اقتصادی بیماران قرار دارد. راهبردهایی که هرگونه وخامت کیفیت زندگی افراد مبتلا به سل را شناسایی و به آنها رسیدگی میکند، در طول مدیریت آنها مورد نیاز است.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
Background
Tuberculosis is a chronic infectious disease that can affect the quality of life of persons living with tuberculosis in resource-limited settings. There is a dearth of research on the quality of life of persons living with tuberculosis within Greater Accra, Ghana.
Purpose
This study investigated the quality of life and its related factors among persons living with tuberculosis in the Greater Accra region of Ghana.
Methods
This descriptive cross-sectional survey assessed the physical, psychological, social relationship and environmental quality of life of 250 persons living with tuberculosis in four public health facilities using the World Health Organization’s Quality of Life Brief Questionnaire instrument.
Results
Respondents’ mean (standard deviation) physical, psychological, social relationship and environmental health-related quality of life domain scores were 46.19 (21.27), 50.67 (23.95), 40.9 (21.74) and 51.91 (20.13) respectively out of 100. Sociodemographic factors which influenced all four quality of life domains were their marital and employment statuses. Respondents’ site of TB infection (pulmonary or extrapulmonary) and phase of treatment influenced their physical, psychological and social domains. Other determinants of the quality of life were their sex, highest level of education and average monthly income.
Conclusions
The quality of life of persons living with tuberculosis was found to be poor and influenced by the patients’ socioeconomic status. Strategies that identify and address any deterioration in the quality of life of persons living with TB are required throughout their management.
Introduction
Tuberculosis (TB) is a deadly infectious disease caused by Mycobacterium tuberculosis. The primary site of TB infection is the lungs, termed pulmonary tuberculosis, but TB may be situated in other parts of the body (extrapulmonary TB) [23]. An estimated 10 million persons developed TB globally in 2019, however, prevalence rates in resource-limited settings around the world remain high and may have been worsened by the disruption of healthcare on account of the Corona Virus Disease (COVID-19) pandemic [27]. In 2020, the approximate national TB prevalence in Ghana, a low to middle-income country in Africa, was 143 per 100,000 persons, which was higher than global estimates (127 per 100,000 persons) [28]. As part of efforts to control TB, Ghana adopted the World Health Organization (WHO)’s Directly Observed Treatment Short-course (DOTS) strategy in 1997. Since its inception, the strategy had involved standardized supervision of TB treatment by healthcare providers for all persons diagnosed with TB with treatment spanning at least 6 months [11].
Conclusion
It was evident in this study that the HRQoL of persons living with TB can be affected by the sociodemographic characteristics of persons living with TB which include their sex, marital status, TB treatment phase and socioeconomic status (education, employment status and average income). Efforts ought to be made by healthcare providers (such as professional nurses and treatment supporters) to provide adequate information and support to the persons living with TB and their significant others in their care.