Factors affecting patient compliance with directly observed treatment short course in kathmandu urban areas, Nepal. (Record no. 590)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02400 a2200241 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20231011130142.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 191201b ||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Description conventions | NLM |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER | |
| Classification number | THS-00114 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bam,Tara Singh. |
| 9 (RLIN) | 1526 |
| 245 ## - TITLE STATEMENT | |
| Title | Factors affecting patient compliance with directly observed treatment short course in kathmandu urban areas, Nepal. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | c2003. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | viii, 145p. : |
| 500 ## - GENERAL NOTE | |
| General note | Thesis Report. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ABSTRACT: A cross-sectional study was conducted in January 2003, among 175 compliant and 59 non-compliant patients, randomly selected from Kathmandu Urban DOTS centres, to identify the compliance behavior and related factors, using a self administered questionnaire. More than half (61%) of non-compliant patients interrupted their treatment due to lack of motivation and believing that they were cured. The proportion of compliance was --high among the younger (15-34) age group (p<0.05) and among the single (martial status) patients (p<0.05) (79.7% and 82.5% respectively). The overall knowledge scores (p<0.01) -and, perception scores (p<0.01), perception of susceptibility to disease (p<0.05) and benefits of treatment (p<0.01) were significantly different between the compliant and non-compliant groups. Non-compliant patients were more likely to think that treatment could be stopped once they were free of symptoms and thought they were cured. A significant relationship was found between compliance and availability of health education, DOT, and traveling time (p<0.05). Compliance patients had good emotional and informational support from family and friends. A significant difference was found between the two groups for overall social support that knowledge (OR - 1.32; 954% CI : 1.03-1,70) and availability of health education (OR - 6,27, 95% CI : 2.88-+13.64) were related to compliance with DOTS. Compliance with DOTS is affected by knowledge, health education, DOT, travelling time, perception of susceptibility and benefits, and social support. It could be improved by provision of more information about tuberculosis and expansion of DOTs involving the community. Keywords :TUBERCULOSIS / DOTS/ COMPLIANCE |
| 546 ## - LANGUAGE NOTE | |
| Language note | Eng. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Tuberculosis. |
| 9 (RLIN) | 891 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Dots. |
| 9 (RLIN) | 3227 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Compliance. |
| 9 (RLIN) | 1819 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a> |
| Link text | Visit NHRC Library |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | National Library of Medicine |
| Koha item type | Thesis Report |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| National Library of Medicine | Nepal Health Research Council | Nepal Health Research Council | Reference | 07/16/2012 | THS00114/BAM/2003 | THS-00114 | 07/16/2012 | 07/16/2012 | Thesis Report |