“I am afraid that others will feel scared and disgusted with me. So, I will keep it a secret until I die”: A qualitative study among patients with tuberculosis receiving DOTS regimen in Thailand


burden of disease
holistic care

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Koontalay, A., Suksatan, W., & Prabsangob, K. (2021). “I am afraid that others will feel scared and disgusted with me. So, I will keep it a secret until I die”: A qualitative study among patients with tuberculosis receiving DOTS regimen in Thailand. Belitung Nursing Journal, 7(6), 516–521. https://doi.org/10.33546/bnj.1678
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Accepted for publication: 2021-10-06
Peer reviewed: Yes

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Background: Tuberculosis (TB) has become a significant public health problem leading to a top ten morality. Directly Observed Therapy, Short-course (DOTS) is recommended as a critical element for curing and preventing TB. However, patients who have been living with TB often receive barriers and challenges, which may lead them to discontinue the DOTS treatment.

Objective: This study aimed to understand patients’ experiences living with TB and receiving DOTS regimens.

Methods: A qualitative descriptive study was employed. Semi-structured interviews were done among twenty tuberculosis patients selected using convenience sampling from the slum community in Bangkok, Thailand. The thematic approach was used for data analysis.

Results: Two main themes were developed: (1) troublesome disease and (2) emotional challenges. The first theme comprises three subthemes: confronting death, accepting lifestyle change, and DOTS challenges. The second theme consists of two subthemes: isolation from others and stigma.

Conclusion: The findings could guide nurses and other healthcare professionals to develop the treatment guideline and the DOTS strategy using a holistic approach.



Copyright (c) 2021 Apinya Koontalay, Wanich Suksatan, Kantapong Prabsangob

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