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KMID : 0939320230260020087
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Korean Journal of Rehabilitation Nursing
2023 Volume.26 No. 2 p.87 ~ p.96
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Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
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Lim Bong-Sil
Kim Min-Young
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Abstract
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Purpose: This study aimed to investigate medication adherence in patients with pulmonary tuberculosis (TB) and the factors influencing it in the COVID-19 pandemic.
Methods: A cross-sectional survey was conducted among patients with pulmonary TB visiting one of 7 hospitals in 5 cities. Data were collected using self-reported questionnaires between November 2021 and February 2022. Statistical analyses, including independent t?test, x 2 test, Fisher’s exact test, Pearson’s correlation, and hierarchical logistic regression analysis, were performed using IBM SPSS/WIN 23.0.
Results: Among 111 patients, 73 (65.8%) demonstrated adherence to medication. Significant factors influencing medication adherence were the duration of TB medication (less than 2 months, OR=4.79, 95% CI=1.39) and stigma I (community perspectives toward TB) - low (OR=4.53, 95% CI=1.36~15.06).
Conclusion: During the COVID-19 pandemic, the level of medication adherence among patients with pulmonary TB was
higher than before. To enhance medication adherence during an infectious disease epidemic, active management of the initial two-month intensive treatment period is crucial. Additionally, addressing psychosocial issues such as stigma is essential for improving overall adherence.
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KEYWORD
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COVID-19, Medication adherence, Social stigma, Tuberculosis
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