Philippine E-Journals

Risk Management on Multidrug-ResistantTuberculosis in Cabuyao City

Krishia Allete S Cruz | Alexander D Garcia Jr | Rheyviene B. Herbosa | Janelle B. Inandan | Mariann Louise S. Velasco

Discipline: healthcare science (non-specific)

 

Abstract:

The Philippines has been designated as highly prone country for multidrug-resistant tuberculosis (MDR-TB, defined as tuberculosis (TB) resistant to at least isoniazid and rifampin) by the World Health Organization. As the number of tuberculosis (TB) cases continue to rise, the figure of patients at risk for Multidrug-Resistant Tuberculosis (MDR-TB) is also growing due to several factors. For that reason, this study aimed to assess the Risk Management on Multidrug-Resistant Tuberculosis among TB-DOTS patients. In the assessment of risk management, the researchers utilized the six constructs of Health Belief Model by Godfrey Hochbaum, Irwin Rosenstock and Stephen Kegels – perceived severity, perceived susceptibility, perceived barriers, perceived benefits, cues to action, and self-efficacy. The self-made instrument was subjected for validity by experts and professionals in the field of Nursing and, Cronbach’s Alpha was used to measure its validity and reliability. The researcher conducted a survey to 111 TB-DOTS patients among the top 5 barangays of Cabuyao City with the highest number of TB-DOTS patients. The data obtained were statistically analyzed with the use of percentage, frequency distribution, and Analysis of Variance test. The level of risk management on Multidrug-Resistant Tuberculosis based on the Perceived Susceptibility, Perceived Benefits, Cues to Action, and Self-efficacy was very high. Otherwise, the level of risk management on Multidrug-Resistant Tuberculosis based on the Perceived Severity and Perceived barriers presents high in the result. Gender of the patient has a significant difference in terms of perceived barriers on Multidrug-Resistant Tuberculosis. Gender significantly affects the patients’ tuberculosis management due to some negative perception about the treatment. Educational attainment of the patient has a significant difference in terms of perceived susceptibility, perceived severity, cues to action, and self-efficacy. Education significantly affects the level and adequacy of knowledge of the patient about tuberculosis treatment and Multidrug-Resistant Tuberculosis. This study concludes that the level of risk management on Multidrug-Resistant Tuberculosis of the respondents are not alarming because they have perceived the risk of MultidrugResistant Tuberculosis. In line with the significant difference in gender and educational attainment, it is recommended for Tuberculosis patients to participate and involve more in their community’s activities that would enhance their knowledge and where they could find more social support beneficial for their treatment adherence. It is also highly recommend to public health nurse and community health centers head that teaching plan to TB-DOTS patients regarding the patient’s susceptibility and the severity of Multidrug-Resistant Tuberculosis (MDR-TB), including the importance of treatment adherence to stop its occurrence, may be approached according to individual’s cognitive capacity since it has been shown that Risk Management on MDR-TB varies depending on their educational attainment.