Psychosocial trauma of diagnosis: A qualitative study on rural TB patients' experiences in Nalgonda district, Andhra Pradesh.

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dc.contributor.authorVenkatraju, B
dc.contributor.authorPrasad, Sheela
dc.date.accessioned2015-07-17T10:29:01Z
dc.date.available2015-07-17T10:29:01Z
dc.date.issued2013-07
dc.description.abstractBackground: 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.en_US
dc.identifier.citationVenkatraju 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.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/159959
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/ibr/t13/i3/ibrt13i3p162.pdfen_US
dc.subjectTuberculosisen_US
dc.subjectWorryen_US
dc.subjectDisbeliefen_US
dc.subjectIllnessen_US
dc.subjectPsychosocialen_US
dc.subjectBiomedical modelen_US
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshAttitude to Health
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshIndia
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshQualitative Research
dc.subject.meshRural Population
dc.subject.meshSocial Perception
dc.subject.meshSocial Support
dc.subject.meshTruth Disclosure
dc.subject.meshTuberculosis --diagnosis
dc.subject.meshTuberculosis --psychology
dc.titlePsychosocial trauma of diagnosis: A qualitative study on rural TB patients' experiences in Nalgonda district, Andhra Pradesh.en_US
dc.typeArticleen_US
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