Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand
In this article, we aimed to understand the life experiences of Thai persons diagnosed with multi-drug-resistant tuberculosis (MDR-TB). A qualitative study using a face-to-face in-depth interview was conducted at a hospital in Thailand which has the highest prevalence of MDR-TB in the country betwee...
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| Veröffentlicht in: | Qualitative health research 2022-01, Vol.32 (1), p.159-167 |
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| creator | Numpong, Samorn Kengganpanich, Mondha Kaewkungwal, Jaranit Pan-ngum, Wirichada Silachamroon, Udomsak Kasetjaroen, Yuthichai Lawpoolsri, Saranath |
| description | In this article, we aimed to understand the life experiences of Thai persons diagnosed with multi-drug-resistant tuberculosis (MDR-TB). A qualitative study using a face-to-face in-depth interview was conducted at a hospital in Thailand which has the highest prevalence of MDR-TB in the country between January and February 2019. Twenty persons living with MDR-TB in Thailand were purposively selected to represent a variety of experiences based on different gender, ages, and treatment phases. Qualitative data were transcribed and thematic analysis was applied to identify common themes and sub-themes. The results indicated that all participants faced emotional difficulties, such as fear of death, fear of stigmatization, confusion, and sadness when first knowing of their diagnosis. Family and social support were the main ways that the patients coped with difficult situations. Suicidal ideas were more prevalent among patients with poor family support. Screening for mental health problems should be routinely performed in MDR-TB patients. Proper health education should be provided to patients and families to reduce emotional difficulties and stigmatization. |
| doi_str_mv | 10.1177/10497323211049777 |
| format | Article |
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A qualitative study using a face-to-face in-depth interview was conducted at a hospital in Thailand which has the highest prevalence of MDR-TB in the country between January and February 2019. Twenty persons living with MDR-TB in Thailand were purposively selected to represent a variety of experiences based on different gender, ages, and treatment phases. Qualitative data were transcribed and thematic analysis was applied to identify common themes and sub-themes. The results indicated that all participants faced emotional difficulties, such as fear of death, fear of stigmatization, confusion, and sadness when first knowing of their diagnosis. Family and social support were the main ways that the patients coped with difficult situations. Suicidal ideas were more prevalent among patients with poor family support. Screening for mental health problems should be routinely performed in MDR-TB patients. Proper health education should be provided to patients and families to reduce emotional difficulties and stigmatization.</description><identifier>ISSN: 1049-7323</identifier><identifier>EISSN: 1552-7557</identifier><identifier>DOI: 10.1177/10497323211049777</identifier><identifier>PMID: 34845946</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adaptation, Psychological ; Confusion ; Coping ; Difficult situations ; Disease management ; Drug resistance ; Emotions ; Family support ; Fear ; Fear & phobias ; Health education ; Health problems ; Health psychology ; Humans ; Life experiences ; Medical diagnosis ; Medical screening ; Mental disorders ; Mental health ; Multidrug resistant organisms ; Psychological assessment ; Qualitative research ; Sadness ; Social support ; Stigma ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Thailand ; Tuberculosis ; Tuberculosis, Multidrug-Resistant - epidemiology ; Tuberculosis, Multidrug-Resistant - psychology</subject><ispartof>Qualitative health research, 2022-01, Vol.32 (1), p.159-167</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021 2021 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-8af61122e3dd7d18e7832c56a9dbb34ea909871a4f93892d7844a9906f2185473</citedby><cites>FETCH-LOGICAL-c466t-8af61122e3dd7d18e7832c56a9dbb34ea909871a4f93892d7844a9906f2185473</cites><orcidid>0000-0002-9839-5359 ; 0000-0003-4841-7924 ; 0000-0003-2684-7958</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10497323211049777$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10497323211049777$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,21799,27903,27904,30978,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34845946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Numpong, Samorn</creatorcontrib><creatorcontrib>Kengganpanich, Mondha</creatorcontrib><creatorcontrib>Kaewkungwal, Jaranit</creatorcontrib><creatorcontrib>Pan-ngum, Wirichada</creatorcontrib><creatorcontrib>Silachamroon, Udomsak</creatorcontrib><creatorcontrib>Kasetjaroen, Yuthichai</creatorcontrib><creatorcontrib>Lawpoolsri, Saranath</creatorcontrib><title>Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand</title><title>Qualitative health research</title><addtitle>Qual Health Res</addtitle><description>In this article, we aimed to understand the life experiences of Thai persons diagnosed with multi-drug-resistant tuberculosis (MDR-TB). A qualitative study using a face-to-face in-depth interview was conducted at a hospital in Thailand which has the highest prevalence of MDR-TB in the country between January and February 2019. Twenty persons living with MDR-TB in Thailand were purposively selected to represent a variety of experiences based on different gender, ages, and treatment phases. Qualitative data were transcribed and thematic analysis was applied to identify common themes and sub-themes. The results indicated that all participants faced emotional difficulties, such as fear of death, fear of stigmatization, confusion, and sadness when first knowing of their diagnosis. Family and social support were the main ways that the patients coped with difficult situations. Suicidal ideas were more prevalent among patients with poor family support. Screening for mental health problems should be routinely performed in MDR-TB patients. Proper health education should be provided to patients and families to reduce emotional difficulties and stigmatization.</description><subject>Adaptation, Psychological</subject><subject>Confusion</subject><subject>Coping</subject><subject>Difficult situations</subject><subject>Disease management</subject><subject>Drug resistance</subject><subject>Emotions</subject><subject>Family support</subject><subject>Fear</subject><subject>Fear & phobias</subject><subject>Health education</subject><subject>Health problems</subject><subject>Health psychology</subject><subject>Humans</subject><subject>Life experiences</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Multidrug resistant organisms</subject><subject>Psychological assessment</subject><subject>Qualitative research</subject><subject>Sadness</subject><subject>Social support</subject><subject>Stigma</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Thailand</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Multidrug-Resistant - epidemiology</subject><subject>Tuberculosis, Multidrug-Resistant - psychology</subject><issn>1049-7323</issn><issn>1552-7557</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kUtPGzEUhS1UBDTtD2BTjdQNmwG_xg8WSCgKLVJQpSrddGM5M3cSo4kd7Bke_x6noUBBXfno-rvn-vogdEjwMSFSnhDMtWSUUfJHSbmDDkhV0VJWlfyQda6WG2AffUzpGmMsMWN7aJ9xxSvNxQH6PQ6-jcH3zi8K65tiHNYbeef6ZXE1dL1r4rAof0Jyqbe-L2bDHGI9dCEXToupa6GY3K8hOvA1pML5Yra0rstWn9Bua7sEn5_OEfp1MZmNv5fTH98ux-fTsuZC9KWyrSCEUmBNIxuiQCpG60pY3cznjIPVWCtJLG81U5o2UnFutcaipURVXLIROtv6rof5CpoafB9tZ9bRrWx8MME68--Nd0uzCLdGSaZF_pAROnoyiOFmgNSblUs1dHkJCEMyVGCuGNFig359g16HIfq8XqYIFxpTjjNFtlQdQ0oR2ufHEGw2yZl3yeWeL6-3eO74G1UGjrdAsgt4Gft_x0diDqC7</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Numpong, Samorn</creator><creator>Kengganpanich, Mondha</creator><creator>Kaewkungwal, Jaranit</creator><creator>Pan-ngum, Wirichada</creator><creator>Silachamroon, Udomsak</creator><creator>Kasetjaroen, Yuthichai</creator><creator>Lawpoolsri, Saranath</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9839-5359</orcidid><orcidid>https://orcid.org/0000-0003-4841-7924</orcidid><orcidid>https://orcid.org/0000-0003-2684-7958</orcidid></search><sort><creationdate>20220101</creationdate><title>Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand</title><author>Numpong, Samorn ; 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| identifier | ISSN: 1049-7323 |
| ispartof | Qualitative health research, 2022-01, Vol.32 (1), p.159-167 |
| issn | 1049-7323 1552-7557 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Adaptation, Psychological Confusion Coping Difficult situations Disease management Drug resistance Emotions Family support Fear Fear & phobias Health education Health problems Health psychology Humans Life experiences Medical diagnosis Medical screening Mental disorders Mental health Multidrug resistant organisms Psychological assessment Qualitative research Sadness Social support Stigma Suicidal behavior Suicidal Ideation Suicide Thailand Tuberculosis Tuberculosis, Multidrug-Resistant - epidemiology Tuberculosis, Multidrug-Resistant - psychology |
| title | Confronting and Coping with Multidrug-Resistant Tuberculosis: Life Experiences in Thailand |
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