gms | German Medical Science

Background and Purpose: TB is a curable disease when patients treated with a standard 6 month course of 4 antimicrobial drugs. The majority of TB cases can be cured when medicines are provided and taken properly. However, Globally, still had 480 000 people developed multidrug-resistant TB (MDR-TB) in 2015.(WHO, 2016)

The purpose of this study was to investigate of factors influencing the MDR-TB cases. In order to foster the collaboration between public health and medical site for complete TB treatment.

Methods: This is a qualitative research design which used experts’ valid interview guides to collect the data. The inclusion criteria of MDR-TB cases were: 1. diagnosis is open TB; 2. incomplete DOTs; and 3. willing to undertaken in depth interview. There were 32 participants participate in this study. The text was translated into transcript and using thematic analysis to conclude the result.

Results: The factors influencing the MDR-TB cases included: 1.Server Drug side effect influence the quality of life, 2. Patient have no insight; 3. the complex and helpless of health seeking process; 4. Lack of support system; 5. disease stigmatizing; 6. Health professional lack of empathy and; 7. Family care giver overload.

Conclusions: The suggestion of this study was that adjust the and decrease the side effect of anti-TB drug, such as smaller the tablet in order to easy oral intake, Health care professional have more empathy about the patient’s feeling and situation. Besides the healthcare professional need to health education the side effect of the anti-TB drug and the way to ease the discomfort system. The training of related healthcare providers also is an important issue for TB patient and to avoid stigmatization and discrimination.