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PATIENT FACTORS ASSOCIATED WITH TREATMENT COMPLIANCE TO TUBERCULOSIS

A Thesis Presented to the College of Nursing University of the Assumption

In Partial Fulfillment of The Requirements for the Degree of Bachelor of Science in Nursing

Dizon, Josephine P. Cudia, Crisiel P. Dabu, Kimberly Ann Dela Pea, Geriz Paul M. Tagudar, Kristine G.

October 2011

ii APPROVAL SHEET In partial fulfillment of the requirements for the degree of Bachelor of Science in Nursing this thesis entitled PATIENT FACTORS ASSOCIATED WITH TREATMENT COMPLIANCE TO TUBERCULOSIS prepared and submitted by DIZON, JOSEPHINE P, CUDIA, CRISIEL P, DABU, KIMBERLY ANN, DELA PEA, GERIZ PAUL M, TAGUDAR, KRISTINE G, has been examined and recommended for acceptance and approval for oral defense. Mrs. Rhiziel Manalese, M.A.N Research Adviser

Approved by the Committee on Oral Examination with a grade of Passed on October 7, 2011.
Mrs. Gloria Vergara, M.A.N Chairman Mrs. Grace Sadac MAEd Member Michelle Ann del Rosario, M.A.N Member

Accepted in partial fulfillment of the requirements for the degree of Bachelor of Science in Nursing.

ANNA MARIE RHOUENCY V. SICAT, MAN Dean College of Nursing

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ACKNOWLEDGEMENT We would like to express our deepest gratitude to all the people who helped us towards the completion of this research study. For all the support, encouragement and inspiration which they have continuously provided us. This thesis would not be made possible without the consistence of the following people. Above all, the deepest appreciation goes to our Father Almighty for enduring the researchers with wisdom, patience and determination. For enlighting us during our moments of confusions, difficulties and despair. For the unconditional love he showered us. For our beloved Families for their assistance be it financial, physical and emotional that truly inspired us to pursue this study, for boosting our morale as well.
To Mr. Romeo Nikko Pabustan and Ms. Michelle Ann Del Rosario, our instructors in Research for providing us basic theories and conducting research.

To Mrs. Rhiziel Manalese, R.N, M.A.N for being our adviser, for sharing her knowledge and time. To Mr. Jerome Paule for assisting us in terms of our computation and statistical work regarding our data collection. To Mrs. Grace Sadac MAEd, Mrs. Gloria Vergara, R.N, M.A.N, Michelle Ann del Rosario, R.N, M.A.N, for all the suggestion in the revision of our manuscript.
To the Rural Health Office, who provided us the necessary documents that were utilized in this study.

To each Barangay Captain for allowing us to conduct survey in their Barangay. To the respondents and their Families who shared their time, cooperation and active participation during our interview and survey days to them.
The Researchers

iv ABSTRACT Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis that primarily affects the lungs. It is transmitted through airborne droplet when patients with pulmonary tuberculosis cough or sneeze. Other signs and symptoms of pulmonary TB are have a low grade fever, cough, night sweats, and fatigue and weight loss. Several numbers of factors contributed to therapeutic non-compliance, these factors could be categorized to patient-centered factors, therapy-related factors, social and economic factors, healthcare system factors, and disease factors. The study then intends to identify which patients personal factor in the TB treatment regimen has a relationship to their compliance. This research will contribute to the Department of Health of the Philippines, the results of this study can be utilized by the Department of Health in the Philippines in providing better programs for health care workers in the compliance of the patient in the treatment regimen. In finding the answers to the research problems, an associational research design is used, which intends to know if there is a significant relationship between patients personal factor and their compliance to TB treatment. Fifty-five (55) TB patients from different barangays in a City were surveyed in September 2011. The main participants of the study were category II and cured TB patients who were officially enrolled under the DOTS program. The main instrument used in this study was a researcher-made questionnaire-type which was validated by various experts. The different items are to answer by the respondents using the four point scale method: 4Strongly agree, 3- Agree, 2- Disagree, 1- Strongly disagree. Frequency, percentage, mean, standard deviation and Chi square utilized to the study for reporting the respondents personal information and their personal factors. Statistical results show that there is an association between the patients age with a p value of 0.033, and health seeking behavior with a p value of 0.032 with the tuberculosis treatment compliance. These may be concluded that a significant association exists between their age and health seeking behavior. It was recommended to provide more information about the disease and treatment to patients and communities. Increase support from family, peers, and social networks. Provide more information about the effects of medication to reduce the risk of patients becoming non-adherent when experiencing treatment side effects.

TABLE OF CONTENTS

Page Approval Sheet ............................................................................................... Acknowlegdement .......................................................................................... Abstract ........................................................................................................ List of Tables ................................................................................................. List of Figures ................................................................................................ Introduction .................................................................................................. ii iii iv vi vi 1

Conceptual Framework .................................................................................... 6 Statement of the Problem ................................................................................ 7 Hypothesis ...................................................................................................... 8 Study Design ............................................................................................. 8 Respondent and Sampling Design ............................................................... Instrument .................................................................................................... Data Gathering Procedure .............................................................................. Data Analysis ............................................................................................... Results ........................................................................................................... 12 Discussion ...................................................................................................... 15 References ..................................................................................................... 18 Appendices .................................................................................................... 22

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List of Tables Table 1 2 3 Page Perceived Qualities of Health Education Materials . 13 Adherence of the Respondents to dengue Prevention 15

Correlation between the Respondents Perceived Qualities of Health Education Materials and their Adherence to Dengue Prevention ... 16

List of Figures Figure 1 Conceptual Paradigm .. Page 7