Psychosocial trauma of diagnosis: A qualitative study on rural TB patients' experiences in Nalgonda district, Andhra Pradesh.
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Date
2013-07
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Abstract
Background: The current tuberculosis (TB) control strategy in India largely ignores psychosocial needs of the patients. The
present study was prompted by the recognition that, if TB treatment is to be culturally sensitive and effective, the
psychosocial problems and issues need to be recognized and addressed.
Aims: The main aim of this study was to explore psychosocial problems and issues among rural patients being diagnosed with
TB.
Methods: 110 respondents who had known about their TB diagnosis less than two months prior to conducting the interviews
were recruited purposively from two selected rural TB units at Yadagirigutta and Chintapally in Nalgonda district in Andhra
Pradesh (A.P.). Semi-structured interview schedule was used for the collection of primary data. A qualitative content analysis
method was employed to analyze and interpret the data. Data analysis was carried out following multi-step procedure that
consisted of data reduction, coding and identification of dominant themes.
Results: The diagnosis of TB was generally seen as a shocking and demoralizing experience, and raised a host of social and
psychological problems among the patients. Six prominent themes emerged from the in-depth interviews with the
respondents: i) worry, ii) disbelief, iii) embarrassment, iv) fear of death, v) fate, and vi) relief.
Conclusion: Effective care for TB requires a much broader approach beyond focusing on anti-tuberculosis drugs and diagnostic
techniques. For medical care to be most effective and acceptable to patients, general practitioners should treat both illness and
disease in their patients at the same time. Knowledge of the nature of psychosocial problems is crucial for the design of new
approaches and methods to improve the quality of life of TB patients.
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Keywords
Tuberculosis, Worry, Disbelief, Illness, Psychosocial, Biomedical model
Citation
Venkatraju B, Prasad Sheela. Psychosocial trauma of diagnosis: A qualitative study on rural TB patients' experiences in Nalgonda district, Andhra Pradesh. Indian Journal of Tuberculosis. 2013 Jul; 60(3): 162-167.